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Computed tomography in maxillofacial trauma

L D Rowe, E Miller, M Brandt-Zawadzki

    The Laryngoscope
    |May 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

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    Computed tomography (CT) offers superior visualization of complex maxillofacial fractures and associated injuries compared to conventional tomography. CT provides crucial details for diagnosing facial trauma and intracranial complications.

    Area of Science:

    • Radiology
    • Medical Imaging
    • Trauma Surgery

    Background:

    • Computed tomography (CT) is the primary diagnostic tool for head trauma.
    • Conventional methods like plain films and multidirectional tomography have limitations in assessing maxillofacial injuries.
    • Limited experience exists regarding CT's role in the operative assessment of facial trauma.

    Observation:

    • CT scans were performed on 27 patients with maxillofacial trauma, in axial, coronal, or both planes.
    • Comparison with polycycloidal tomography was made in 18 patients.
    • CT clearly identified fracture lines, fragments, and deformities in all patients, diagnosing various facial fractures.

    Findings:

    • CT scans effectively diagnosed zygomatic, orbital floor, nasoethmoidal, LeFort, temporal bone, frontal sinus, and mandible fractures.

    Related Experiment Videos

  • Concomitant intracranial injuries, including hematomas and pneumocephalus, were readily detected by CT.
  • Facial and orbital soft tissues were visualized by adjusting CT settings, providing additional diagnostic information.

    • Implications:

    • CT provided additional information compared to polytomography in 15 of 18 cases.
    • While multidirectional tomography excels in fine bone detail, CT is superior for complex fractures due to better contrast resolution.
    • Advancements in CT spatial resolution may lead to its complete replacement of multidirectional tomography for maxillofacial trauma evaluation.