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Related Concept Videos

Computed Tomography01:10

Computed Tomography

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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
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Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

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Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
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Updated: May 13, 2025

Computed Tomography and Optical Imaging of Osteogenesis-angiogenesis Coupling to Assess Integration of Cranial Bone Autografts and Allografts
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Review of computed tomography imaging can decrease nontherapeutic transfer after facial trauma.

Connor Mamikunian1, James M Bardes, Morgan Pendelton

  • 1From the Department of Surgery, Division of Trauma, Surgical Critical Care and Acute Care Surgery (C.M., J.M.B., K.C.C., G.S.), West Virginia University, School of Medicine (M.P.), Department of Otolaryngology (P.T., S.R., B.K.), and Department of Oculoplastics (J.N.), West Virginia University, Morgantown, West Virginia.

The Journal of Trauma and Acute Care Surgery
|April 14, 2025
PubMed
Summary
This summary is machine-generated.

Most facial fracture transfers are not urgent and can be managed nonoperatively. Remote computed tomography (CT) evaluation can reduce unnecessary patient transfers for facial trauma.

Keywords:
Rural traumafacial traumatransfer

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Area of Science:

  • Trauma Surgery
  • Medical Imaging
  • Patient Transfer Protocols

Background:

  • Maxillofacial trauma presents a wide range of injuries, from minor fractures to severe defects.
  • Some injuries require immediate surgery, while others can be managed nonoperatively.
  • Remote evaluation of facial trauma patients before transfer may reduce nontherapeutic transfers.

Purpose of the Study:

  • To assess the utility of remote computed tomography (CT) evaluation for patients with facial fractures.
  • To determine the proportion of facial fracture transfers that are nontherapeutic.

Main Methods:

  • A review of 150 adult patients transferred with facial injuries and available CT imaging.
  • Facial trauma surgeons evaluated charts and CT scans to determine surgical necessity and timing.
  • Analysis of the accuracy of remote CT evaluation in surgical decision-making.

Main Results:

  • 27% of patients required surgery, while 57% did not; 16% were indeterminate.
  • Only 7% of surgical cases had urgent indications (<24 hours).
  • Remote CT evaluation demonstrated 100% accuracy in identifying nonoperative vs. urgent surgical cases.

Conclusions:

  • The majority of facial fracture transfers are low-grade and do not necessitate immediate surgery.
  • Remote CT evaluation of facial fractures can significantly decrease nontherapeutic transfers.