Evaluation Of Maxillofacial Trauma Research Articles

Role of Multidetector Computed Tomography in the Evaluation of Maxillofacial Trauma.

Maxillofacial fractures are among the commonest injuries occurring in trauma patients. Multislice computed tomography (CT) is a widely used radiological investigation that accurately reveals the number, location, and extent of the fractures as well as concomitant soft tissue injuries and has been found to be superior in the diagnosis of maxillofacial fractures owing to high sensitivity and specificity. This study was performed to assess the efficacy of axial, coronal, sagittal, and three-dimensional (3D) reformatted images in the detection of fractures in maxillofacial trauma. This was a cross-sectional descriptive study conducted on 49 adult patients with maxillofacial injuries undergoing multislice CT using a multidetector SiemensSOMATOM Emotion eco 16 slice CT scanner (Siemens AG, Munich, Germany). CT protocol consisted of non-contrast axial 16-slice helical series beam collimation ~ 3 mm, pitch ~ 0.8 - 1, tube current ~ 270 mAs, voltage ~ 130 kV, Total exposure time ~ 18 seconds, total radiation ~ 200 mGy. Along with the axial, coronal and sagittal images were reconstructed with 0.5 mm increment. 3D volume-rendering images were also obtained. 3D images were compared with axial images, coronal and sagittal plane images. The maximum number of cases was in the age group of 21-30 years with the male: female ratio being 5.12:1. The most common cause of injury was road traffic accidents (RTA). Mandible fractures were found to be the most common (20 patients, 40.8%) followed by fractures of nasal bone (18 patients, 36.7%). The incidence of frontal bone fractures was found to be the least(six patients, 12.24%). Our study found that 3D images are superior to axial in assessing the extent and degree of displacement of maxillofacial fractures in general. The maxillary sinus was found to be the most commonly fractured sinus (19 patients, 38.7%). Sphenoid sinus fractures were the least common (seen in two patients, 4.08%). CT findings correlated with the operative findings in most types of fractures. Multidetector CT with multiplanar and 3D reformation is highly accurate in the identification of fractures and assessing the extent and degree of displacement of fractures; hence, it is the imaging modality of choice in maxillofacial trauma.3D images are much better for the detection of maxillofacial fracturescompared to axial, coronal, or sagittal views, especially in maxilla and mandibular bone fractures. It is also found to be betterat providing information on thepatterns of the fracture lines and the displacement of the fracture fragments. Another added advantage of multidetector CT is that it is a non-invasive technique with good accuracy and a short scan time.

Evaluation of Maxillofacial Trauma in Saudi Arabia using Computed Tomography

Background: Trauma to the maxillofacial region can lead to severe complications such as sinuses obstruction, intracranial injuries, and vision loss. Computed tomography has a critical rule for early evaluation of the maxillofacial region. This study aimed to evaluate the findings that occur due to maxillofacial injuries using computed tomography (CT). Material and Method: A total of 200 facial CT patients were retrospectively examined, extending from January 2019 to January 2020. 140 slice CT systems (Siemens Medical system) were applied to investigate patients with maxillofacial trauma at three hospitals in Taif, Saudi Arabia. Results: Out of the 200 maxillofacial traumas, Maxilla fractures were found in 71 patients (35%), and Nasal fractures were found in 56 patients (28%). Various maxillofacial fractures were seen, including Frontal, Zygomatic, Ethmoidal, Mandible, Temporal, and Parietal and Orbital bone. The adults ranged from 20 to 39 years were more commonly affected; maxillofacial fractures were more prevalent in men. Conclusion: various maxillofacial fractures were identified during a facial CT scan, and approximately one-third were male. The maxilla bone was the most common site of the fracture, followed by the nasal bone. Therefore, CT is essential for the patient with maxillofacial trauma for early management to avoid any complications for the patient.

Role of Computed Tomography in Evaluation of Maxillofacial Trauma

Role of Computed Tomography in Evaluation of Maxillofacial Trauma

Comparative Study of Clinical Manifestation, Plain Film Radiography and Computed Tomography for Diagnosis of Maxillofacial Trauma

Objective: Maxillofacial injuries are one of the commonest injuries encountered. Roentgenographic evaluation of maxillofacial trauma is of prime importance for diagnosis and treatment of these injuries. Study Design: Forty patients were evaluated in the prospective four-year study. We studied and evaluated the demography and diagnostic efficacy of clinical, plain radiography, and computed scan in maxillofacial trauma. Result: Road traffic accidents were the commonest cause of maxillofacial injuries. Patients having multiple fractures, mandibular fractures were the commonest. Conclusion: Computed tomography proved a useful adjunct in midfacial trauma.

Diagnostic Efficacy Of 3D CT Vs Conventional Radiographs In Maxillofacial Trauma -A Comparative study

Conventional plain radiographs are the first line o f investigation in maxillofacial trauma but bear li mited advantages. CT is now a preferred diagnostic tool due to its ac curate diagnosis. Many studies have been done regar ding the efficacy of CT scan in the diagnosis and management of maxillofacial trauma but most of them have been performed in radiologist perspective. In this study we did a comparative study of conventional radiogr aphs and 3D CT in the evaluation of maxillofacial trauma based solely on Oral and maxillofacial surgeon’s perspect ive (i.e. How much an oral and maxillofacial surgeon finds radiog raphs / 3D CT valuable in the diagnosis and management of maxillofacial trauma patients). Forty five patients of either sex ranging 3 to 55 years (mean average age 27.1+_11.9 years) were included in this study and were advised conventional radiographs and non-contrast CT scan with 3D reconstruction. Cases with maxillofacial fracture w ere divided into three groups 1) Middle third face fracture, 2) Lower third face fracture and 3) Both middle third and lower third face fracture. In each group, the c onventional radiographs and 3D CT were done and analyzed. The result of our study indicate that 3D CT is statistic ally more significant ( Z= 8.8, p<0.001 ) in terms of fracture sites detection as compared to conventional radiographs. Further 3D CT is superior in displaying extent of fractures and comminution as well as for displacement and it provides additional conceptual information as compared to co nventional radiographs in majority of patients havi ng maxillofacial trauma.