Comparative Study of Clinical Manifestation, Plain Film Radiography and Computed Tomography for Diagnosis of Maxillofacial Trauma

Goel, Ashish; K, Ganguli P; Nazir, Umbreen; Nadeem, Raja; Gupta, Pradeep Kumar

doi:10.14260/jemds/2014/3479

Cited by 1 publication

(1 citation statement)

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“…Imaging of the maxillofacial region can be challenging in trauma patients and conventional radiographs are becoming less popular as a result of the availability of computer tomography. 40,41 The specialists who reviewed the radiographs agreed that most of these radiographs were inappropriate for the diagnosis of maxillofacial fractures. This suggests that either maxillofacial fractures were incidental findings or that the attending clinician had requested inappropriate radiographic projections for the diagnosis of these fractures.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and aetiological factors of maxillofacial trauma in a rural district hospital in the Eastern Cape

2018

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aim: To determine the prevalence, aetiological factors and demographic data of patients presenting with injuries sustained from maxillofacial trauma over a six month period at Zithulele Hospital. Materials and Methods: In a retrospective, descriptive study, data collected and analysed included records of all patients who had suffered maxillofacial trauma, their demographics, clinical features and the aetiology. The radiographic records were assessed by a maxillofacial surgeon and a radiologist for a diagnosis as well as gaining opinions regarding the types of fractures observed. results: A total of 239 patients sustained maxillofacial trauma. The most common aetiological factor was interpersonal violence (55%) followed by road traffic accidents (16%), falls (10%), animals (4%) and other causes (2%). The male to female ratio was 2.6:1 and the 18-24 years age group endured the most trauma. A total of 210 (88%) patients sustained soft tissue injuries while 29 (12%) experienced hard tissue injuries, with 39 fractures diagnosed. A total of 165 maxillofacial radiographs were assessed, 37% were diagnostically acceptable, 56% had poor diagnostic value and 7% had no diagnostic value. conclusion: Maxillofacial trauma is prevalent in rural parts of South Africa. Males aged 18-24 years are frequent victims, with interpersonal violence being the major aetiology.

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Section: Discussionmentioning

confidence: 99%