Skull radiology in patients with facial trauma

In a retrospective study the primary radiographs of 723 patients with facial fracture were analyzed. In all, 392 (54%) skull radiographs were performed on these patients, in which only 26 (6.6%) skull fractures - 23 linear and 3 basal were detected. Skull radiographs taken particularly in connection with simple nasal fractures were found unnecessary. In fractures of the mandible the overuse of skull radiographs was obvious. Some 44% of skull radiographs were considered unsatisfactory mainly due to technical errors. It is concluded that for the majority of patients with facial trauma, projections applicable to facial fracture should be performed. Skull radiographs are recommended for multiply injured patients with facial trauma due to associated injuries.