Outcome Analysis of Sport Related Facial Fractures by ConventionalRadiography and Facial CT: The Diagnostic Accuracy in DifferentImaging Modalities

Abstract

AbstractBackground: Injury to the facial region may lead to lifethreatening situations, it is difficult to physically examine thepatient with facial trauma. The growing frequency and mag-nitude of road traffic accidents, as well as the increase inepisodes of urban violence, have made these traumas a formof social disease. Multidetector Computed Tomography (MD-CT) is the imaging modality of choice and is one of the mostimportant imaging tools in evaluation of patients with sportrelated maxillofacial trauma. It helps in detecting the exactsite, number and extent of fractures, displacement of fragmentsand soft tissue injuries.Aim of Study: The aim of this study is to detect sportrelated different facial fractures by using conventional radi-ography and Multi Detector Computed Tomography (MDCT).Patients and Methods: Twenty eight patients were referredto Department of Radiodiagnosis, Zagazig University Hospitalsfor this prospective cross-sectional study.In this study, 28 patients with 60 facial fractures wereexamined by multidetctor CT from the most common fracturewas orbital fracture seen in 14 cases (50%).Our study included 28 patients who sustained sport traumato the facial skeleton with age range from 17-51 years old.Conventional plain radiography and MDCT were performedto all patients.Results: In this study, males were constitute most of thepatients with number of 22 patients which represents (78.6%) of the total while number of female patients was 6 which represents (21.4%) of the total.Conclusion: Facial injuries are commonly encounteredemergencies which needs early diagnosis and management.Road traffic accidents and social violence are the commonreasons which have led to increase in the frequency ofmaxillofacial injuries. However sport related facial injuriesis still a common cause, the complex anatomies of the facialbones require multiplanar imaging techniques for a detailedevaluation.