The Added Value of Multislice Computerized Tomography in Evaluation of Maxillofacial Fractures.

Abstract

Background: As Regard fracture morphology, The maxillofacial fractures are often complex, so the imaging findings should be familiar to the clinicians. To diagnose maxillofacial fractures, several radiographic approaches have been utilized. Recently, Multidetector computed tomography (MDCT) with three-dimensional (3D) and multiplanar reformation (MPR) become basic in fractures evaluation because of its higher sensitivity.Objective: The study purpose to 1- To study the number, extent, and degree of fractures displacement through the utilization of axial, coronal & 3D reformatted images. 2. Study the value of axial, coronal & 3D reformatted images in fractures recognition.Methodology: This study has been done through the collection of data from papers which has been searched upon PubMed from 2001 till 2017, the search is done including only the papers written in English language and collected data including maxillofacial region anatomy, a hint about the CT physics and injury presentation.Summary:The fracture is classified into orbital, facial and mandibular fractures and the facial fractures are sub-classified into upper, mid and lower face fractures. In complex midface fractured patients, it easy detects frontal and maxillary bones fractures and their displacement. In comparison with X-ray, Mandibular CT imaging, in particular, MDCT, It is highly sensitive in mandibular fracture detection, and provide excellent detail in detecting mandibular condyle fractures. and The coronal reconstruction has a superior role in the orbital and maxillary fractures detection.Conclusion: MDCT with (3D)and (MPR) images become a standard piece of fractures evaluation due to sensitivity of this imaging system for fracture.