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Computed tomography in medial maxilla-orbital fractures
Journal of Computer Assisted Tomography
|June 1, 1984
Summary
Facial trauma involving the frontal process of the maxilla often goes undetected on plain films. Computed tomography is crucial for diagnosing these fractures and preventing facial deformities.
Area of Science:
- Maxillofacial surgery
- Radiology
- Trauma surgery
Background:
- The frontal process of the maxilla and anterior antral wall are critical for midface support.
- Unrecognized fractures can lead to significant facial deformities.
Purpose of the Study:
- To evaluate the diagnostic utility of computed tomography (CT) for fractures of the frontal process of the maxilla.
- To compare CT findings with plain film radiography in patients with facial trauma.
Main Methods:
- Retrospective analysis of 50 patients with facial trauma who underwent CT examination.
- Comparison of CT findings with initial plain film interpretations.
Main Results:
- Fractures of the frontal process were identified in 13 of 50 patients (26%).
- Plain film examination missed these fractures in 10 out of 13 patients (77%).
- CT demonstrated posterior and rotational displacements effectively, especially in complex fractures.
Conclusions:
- Computed tomography is superior to plain films for detecting frontal process of the maxilla fractures.
- Early and accurate diagnosis via CT is essential to prevent midfacial deformities.