Abstract
Background: Motor vehicle accidents (MVAs) are the main causes of midfacial fractures in developing countries. Multidetector computed tomography (MDCT) is the principle diagnostic imaging tool in maxillofacial trauma. Multiplanar reformatted (MPR) and three-dimensional (3D)-reconstructed images provide a detailed analysis for midfacial fractures and assessment of their severity. Aim: To identify, outline, and quantify different patterns of midfacial and orbital fractures evaluated by MDCT using MPR and 3D-reconstructed images. Subjects and Methods: A total of 35 patients with midfacial and orbital trauma were included in this study referred to the Emergency Unit of Kasr Alainy University Hospital. All patients were subjected to MDCT in axial sections. MPR and 3D volume-rendering images were obtained. Statistics: A prospective descriptive study. Results: Majority (65.7%) of midfacial fractures were due to MVAs. Men represent 91% of cases. In this study, the most common facial fracture was orbital fractures (34%), followed by maxillary fractures (31%). Fifteen cases with midfacial injuries were associated with head trauma. Conclusion: MDCT with its expedient imaging capabilities provides a comprehensive analysis of midfacial fractures. MPR and 3D-reconstructed images exhibit high informative value in elucidation of midfacial and orbital fractures needed for prompt surgical management.
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