Abstract
Objectives: to describe the tomodensitométric aspects of maxillofacial trauma and to assess the complications and associated extra-facial lesions. Materials and methods: this was a tricentric study carried out in rural areas over a period of 4 months including 126 patients with a ratio of 8 in favor of men. The average age of our patients was 30 years with a standard deviation of 15.1 and extremes of 1 year and 75 years. The road traffic accident represented 65% of the circumstances of occurrence. The studied parameters were analyzed with Microsoft Office Excel 2007, SPSS 19 software with a significance coefficient of 5%. Results: fractures of the upper facial area represented 91% compared to 9% for fractures of the lower facial area. They were of the LeFort type in 12%, centrofacial in 49% and latero-facial in 39%. Immediate complications were noted in 55.6% with hemosine type in 45%, orbital emphysema in 33% and osteo-dural breaches in 22%. Extra-facial lesions were noted in 66% of the study population with intracranial lesions in 64% of patients and cervical spine lesions in 2% of patients. Conclusion: the computed tomography allowed us to make the exhaustive lesional assessment of the maxillofacial traumatized for an adequate assumption of responsibility. Keywords: computed tomography, trauma, maxillofacial, fracture
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