Asian Pacific Journal of Health Sciences

Yazarlar: Md.K. Ansari, S.S. Ahmed, R. Kumar, Ekramullah

Konular:-

DOI:10.21276/apjhs.2015.2.1.7

Anahtar Kelimeler:3D CT in Maxillofacial trauma,Fracture Middle third and lower third facial skeleton

Özet: Conventional plain radiographs are the first line of investigation in maxillofacial trauma but bear limited advantages. CT is now a preferred diagnostic tool due to its accurate diagnosis. Many studies have been done regarding 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 radiographs and 3D CT in the evaluation of maxillofacial trauma based solely on Oral and maxillofacial surgeon’s perspective (i.e. How much an oral and maxillofacial surgeon finds radiographs / 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 were 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 conventional radiographs and 3D CT were done and analyzed. The result of our study indicate that 3D CT is statistically 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 conventional radiographs in majority of patients having maxillofacial trauma.

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