Diagnostic performance of multi-slice computed tomography using 2D and 3D images in the assessment of Le Fort fractures

ELFiky, Inas; Sammak, Dena Abd El Aziz El; Sammak, Ahmed El; Abdelhady, Mohammad

doi:10.1016/j.ejrnm.2017.02.004

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…The results were similar with the study conducted by Inas Elfiky (2017). 7 The demographic data collected by Punit S Dikhit et al (2019) also showed the majority of cases (68.5%) were between the age range of 19 to 39 years. Midface fractures frequently occur in conjunction with other facial fractures or as part of panfacial injuries due to their central placement within the facial skeleton, 8 which also reflects in our study wherein out of 173 fractured bones that were identified in 100 patients there were 48 ZMC fractures, 30 cranial bone fractures and 21 mandibular fractures as well.…”

Section: Discussionmentioning

confidence: 92%

Changing patterns of mid face fractures in 21century-A need to redefine lines

Pillai,

Nayak,

Jain

et al. 2023

IJMI

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To study the changing patterns of mid face fractures using computed tomography scan. 100 patients with midface fracture requiring open reduction and internal fixation were selected for this study. They underwent 2D and 3D computed tomography scan. The fracture lines were studied radiographically and intraoperatively and compared with the standard Le Fort lines.The study showed that men ranging from age 21-30 years were more likely to suffer midface fracture compared to women M:F =19:5. Road traffic accidents (RTA) happens to be the most common aetiology (78%) followed by assaults and accidental fall. The midface fractures that were encountered were divided into 3 categories after assessing the CT scans as follows- 1. Similar to Le Fort lines-24%; 2. Combination of Le fort lines-12%; 3. Deviation from Le Fort lines-64%.The 64% of patients with deviations were divided into 5 categories- 1. V1: Additional line from the pyriform aperture to the infraorbital rim of the same side. (37.17%); 2. V2: Additional line connecting the Le Fort fracture line to the infraorbital rim. (38.46%); 3. V3: Additional line connecting the pyriform aperture to the orbit's lateral wall without crossing the infraorbital rim on the same side. (12.82%); 4. V4: Additional line involving the fractured segment, running from the infraorbital rim across the canine fossa and finishing on the dentoalveolar segment on the same side. (5.12%); 5. V5: Pterygoid plates not fractured. (6.41%). Every patient with a facial fracture should undergo a complete clinical and radiographic assessment. In order to accurately determine the fracture patterns, it is necessary to review the sectional pictures of the scans coupled with 3D-reconstructed images. Newer classification needs to discussed to describe the deviation caused by high velocity objects. To treat the patient promptly and to establish better communication between the surgeon and radiologist.

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Section: Discussionmentioning

confidence: 92%

Changing patterns of mid face fractures in 21century-A need to redefine lines

Pillai,

Nayak,

Jain

et al. 2023

IJMI

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Cosmetic and Reconstructive Facial Plastic Surgery Related Simulation and Optimization Efforts

Tokgoz

Carro

2023

Cosmetic and Reconstructive Facial Plastic Surgery

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Facial Reconstruction: A Systematic Review of Current Image Acquisition and Processing Techniques

et al. 2020

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Introduction: Plastic and reconstructive surgery is based on a culmination of technological advances, diverse techniques, creative adaptations and strategic planning. 3D imaging is a modality that encompasses several of these criteria while encouraging the others. Imaging techniques used in facial imaging come in many different modalities and sub-modalities which is imperative for such a complex area of the body; there is a clear clinical need for hyper-specialized practice. However, with this complexity comes variability and thus there will always be an element of bias in the choices made for imaging techniques.Aims and Objectives: The aim of this review is to systematically analyse the imaging techniques used in facial reconstruction and produce a comprehensive summary and comparison of imaging techniques currently available, including both traditional and novel methods.Methods: The systematic search was performed on EMBASE, PubMed, Scopus, Web of Science and Cochrane reviews using keywords such as “image technique/acquisition/processing,” “3-Dimensional,” “Facial,” and “Reconstruction.” The PRISMA guidelines were used to carry out the systematic review. Studies were then subsequently collected and collated; followed by a screening and exclusion process with a final full-text review for further clarification in regard to the selection criteria. A risk of bias assessment was also carried out on each study systematically using the respective tool in relation to the study in question.Results: From the initial 6,147 studies, 75 were deemed to fulfill all selection criteria and selected for meta-analysis. The majority of papers involved the use of computer tomography, though the use of magnetic resonance and handheld scanners using sonography have become more common in the field. The studies ranged in patient population, clinical indication. Seminal papers were highlighted within the group of papers for further analysis.Conclusions: There are clearly many factors that affect the choice of image acquisition techniques and their potential at being ideal for a given role. Ultimately the surgical team's choice will guide much of the decision, but it is crucial to be aware of not just the diagnostic ability of such modalities, but their treatment possibilities as well.

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Diagnostic performance of multi-slice computed tomography using 2D and 3D images in the assessment of Le Fort fractures

Cited by 3 publications

References 13 publications

Changing patterns of mid face fractures in 21century-A need to redefine lines

Changing patterns of mid face fractures in 21century-A need to redefine lines

Cosmetic and Reconstructive Facial Plastic Surgery Related Simulation and Optimization Efforts

Facial Reconstruction: A Systematic Review of Current Image Acquisition and Processing Techniques

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