The diagnostic efficacy of multiplanar and 3-dimensional MDCT in Evaluation of Traumatic Maxillofacial Injuries | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Article 5, Volume 12, Issue 2, April 2021, Page 110-120 PDF (680.1 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/omx.2021.86992.1127 | ||||
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| Authors | ||||
| Joy Shakera1; Gehan Seifeldeina* 2 | ||||
| 1aDepartment of Diagnostic and Interventional Radiology, Department of Radiodiagnosis, El-Mabara Health Insurance Hospital, Assiut, Egypt | ||||
| 2Department of Diagnostic and Interventional Radiology,Assiut, Egypt | ||||
| Abstract | ||||
| Purpose: The study aimed to evaluate the diagnostic accuracy of multidetector computed tomography(MDCT) using multiplanar and three-dimensional (3D) reconstruction images in the management of patients with maxillofacial injuries. Materials and Methods: Ninety-six patients with maxillofacial trauma were enrolled. The detected fractures were documented and tabulated into three groups. The first group the data obtained in axial images, the second group the data obtained in multiplanar reformatted images, and the third group 3D-reconstructed images. Results: Orbital, mandibular, and maxillary fractures were the most frequent fractures occurring in 37 (50.6 %), 37 (50.6 %), and 33 (45.2 %) cases respectively. 3D reconstructed images had the highest sensitivity in diagnosing the infraorbital fractures compared with axial, sagittal, and coronal reformatted images (p ꞊ 0.00, p ꞊ 0.03 and p ꞊ 0.01 respectively). Coronal reformatted images performed better than axial images in the evaluation of pterygoid plate fractures, and axial images were better in the case of anterior maxillary wall fractures in comparison to 3D reconstruction (p ꞊ 0.01). Sagittal reformatted images had the least sensitivity in diagnosing mandibular fracture and condylar dislocation. Conclusion:Multiplanar reconstruction increases the effectiveness of visualization of facial fractures.3D images provides better visualization of fracture lines and displaced bony fragments especially in the case of Le Fort fractures. | ||||
| Keywords | ||||
| Facial bone injury; Maxillofacial trauma; Multiplanar CT | ||||
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