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- Title
3-d computerized tomography reconstructions alter management decisions of facial fractures
- Authors
Hessel, Amy; Roebuck, Jeremy C.; Pereira, Kevin D.; Poole, Michael D.
- Abstract
Objectives: The recent availability of high speed, high resolution computerized tomography (CT) with 3-dimensional (3-D) reconstruction now offers striking clarity of external bony facial anatomy. We undertook a prospective study to determine the impact of the 3-D images on management decisions that were previously based on 2-dimensional (2D) views.Methods: We prospectively evaluated 20 nontrivial traumatic facial fractures. Isolated nasal or mandible fractures were excluded. The patients underwent CT scanning of the face and cranium, without contrast, with 1 mm cuts. Commercially available software generated 3-D reconstructions. Assessments and operative planning was made on the basis of 2D views, and compared with the 3-D views.Results: In this series of maxillofacial fractures, the precise anatomy demonstrated by the 3-D reconstructions resulted in altering or canceling the surgical procedures in over half of the cases. The largest impact of the 3-D scans on the decision-making was seen in naso-orbital-ethmoid (NOE) fractures, with significant but lesser alterations in decisions regarding fractures of the anterior table of the frontal sinus and in those involving zygoma fractures.Conclusion: Three-dimensional CT scanning of facial fractures appears to have a major impact on surgical planning of these complex injuries.
- Subjects
TOMOGRAPHY; FACE; MEDICAL radiography; BONE fractures
- Publication
Otolaryngology-Head & Neck Surgery, 2004, Vol 131, Issue 2, pP243
- ISSN
0194-5998
- Publication type
Abstract
- DOI
10.1016/j.otohns.2004.06.484