Validity of computed tomography in diagnosing midfacial fractures

Carvalho, Matheus Furtado de; Vieira, J. N.; Figueiredo, Reginaldo; Reher, Peter; Chaves, Miranda

doi:10.1016/j.ijom.2020.09.002

Cited by 6 publications

(2 citation statements)

References 27 publications

(30 reference statements)

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“…Recent medical literature shows a significant increase in the use of 3D imaging as a diagnostic tool in many clinical cases, including facial fractures (de Carvalho et al 2021 , Wickwire et al 2022 ), naso-orbital-ethmoid fractures (Onisor 2022 ), cervical fractures (Ren et al 2021 ) and orbital blowout fractures (Jansen et al 2018 ). Researchers have also used this technology to conduct virtual surgery on the scaphoid bone (Faudot et al 2021 ) while other studies have used it to scan the peri-orbital region for a very high clinical accuracy (Hollander et al 2021 ).…”

Section: Discussionmentioning

confidence: 99%

A comparative analysis of the CP and CG using 2D and 3D visualisation approaches

Boulton,

Kwa,

Al-Rubaie

2023

Anat Sci Int

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Investigations on the structural variations in the cribriform plate (CP), olfactory foramina and the Crista Galli showcase the benefits of using 3D imaging on smaller structures. These techniques reveal accurate details about bone morphology and density. Comparing different techniques, this project aims to examine the correlation between the CP, olfactory foramina, and Crista Galli. Computed tomography was used to translate and apply the findings acquired from the samples in radiographic studies on CPs for potential clinical significance. The findings show that the surface area measurements were significantly larger when using 3D imaging techniques in comparison with the 2D counterpart. Using 2D imaging, the maximum surface area of the CPs was 239.54 mm2, however, paired 3D samples showed the maximum surface area was 355.51 mm2. The findings show that Crista Galli’s dimensions varied greatly, with length ranging from 15 to 26 mm, height ranging from 5 to 18 mm, and width ranging from 2 to 7 mm. The 3D imaging allowed for surface area measurements on the Crista Galli, and the surface area ranged from 130 to 390 mm2. When 3D imaging was used, significant correlations were found between the surface area of the CP and the length of the Crista Galli (p = 0.001). The findings show that measurements on the Crista Galli using 2D and 3D reconstructed radiographic imaging reflect similar ranges of dimensions to 3D imaging measurements. The findings also suggest that the Crista Galli may increase in length with the CP to support the latter and olfactory bulb during trauma which may be used by clinicians alongside 2D CT scans for optimal diagnosis.

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Section: Discussionmentioning

confidence: 99%

A comparative analysis of the CP and CG using 2D and 3D visualisation approaches

Boulton,

Kwa,

Al-Rubaie

2023

Anat Sci Int

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“…In modern clinical practice, visualization and clinical methods are used to evaluate the results of treatment of facial area fractures [25,26].…”

Section: Table 4 Distribution Of Patients By the Number And Localization Of Fracture Sites (%)mentioning

confidence: 99%

Results of treatment of patients with midfacial fractures

Grigorov

2021

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Background. Fractures of the bones of the facial skeleton, in particular the midface area, are one of the most frequent reasons for patients to apply to maxillofacial inpatient care, not only in Ukraine but also abroad. Along with more modern treatment technologies (osteosynthesis using titanium miniplates and minigrid for fixation bone fragments), methods of repositioning of fragments with subsequent tamponade of the maxillary sinus with iodoform tampon and without tamponade and fixation of fragments are used. A certain group of patients is treated conservatively, which is associated with their reluctance to undergo surgery, minimal displacement of fragments or minimal cosmetic and functional impairments. The purpose of the study. Comparative evaluation of the results of treatment of patients with fractures of the midface area by repositioning the fragments of the zygomatic-orbital complex without fixating the fragments and their subsequent fixation by tamponade of the maxillary sinus with iodoform tampon. Object and methods of research. The comparison was made of the results of treatment of 70 patients with fractures of the midface area, among which 13 patients were treated by the method of repositioning fragments of the zygomatic-orbital complex (ZOC) without fixation and without maxillary sinus tamponade, 29 patients underwent repositioning of ZOC fragments with subsequent fixation of fragments with iodoform tampon – the tamponade of the maxillary sinus was performed on the affected side. For comparison, the results of conservative treatment of 28 patients with fractures of the midface area were used. Results. It was found that the reliable (χ2=11.43; p<0.05) majority of patients (64%) sought treatment within 0-3 days after injury. 83-89% of patients who underwent repositioning of the fragments had fresh small-fragment fractures. The reliable (χ2=11.43; p<0.05) majority of them simultaneously had 3-4 sites of bone fractures of the midfacearea, hemosinus of varying degrees and paresthesia in the infraorbital area. In the majority of patients who underwent repositioning of bone fragments with and without tamponade (85% and 93%, respectively), the final displacements ranged from 3.1 to 6 mm. In patients treated conservatively, in most cases (93%) the displacements were greater than 3.1 mm, which remained after treatment. Conclusion. In the majority of patients treated with the studied methods, in the long term, the displacement of bone fragments remained, which had functional and cosmetic consequences. In all studied groups, a certain cosmetic effect was achieved over time, as evidenced by a reliable (χ2=160.9; p=0.00000) decrease in the indicator by the visual analogue scale .

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