ABSTRACT
Technological advances in computerized tomography (CT) have reduced data acquisition
and reconstruction times so that three-dimensional (3D) CT images of maxillofacial
injuries may be economically and quickly generated. 3DCT was judged superior to multiplanar
two-dimensional CT in demonstrating the spatial relationships of fracture fragments
in complex mandibular and midfacial trauma. Although 3DCT failed to demonstrate soft-tissue
injuries well, the surgeon's improved appreciation of the disrupted bony architecture
facilitated preoperative planning. 3DCT facilitates the evaluation of complex mandibular
and midfacial fractures.
KEYWORDS
Computed tomography - facial fracture - facial trauma - mandible fracture
REFERENCES
- 1
Marentette L J, Maisel R H.
Three-dimensional CT reconstruction in midfacial surgery.
Otolaryngol Head Neck Surg.
1988;
98
48-52
- 2
Broumand S R, Labs J D, Novelline R A, Markowitz B L, Yaremchuk M J.
The role of three-dimensional computed tomography in the evaluation of acute craniofacial
trauma.
Ann Plast Surg.
1993;
31
488-494
- 3
Reuben A D, Watt-Smith S R, Dobson D, Golding S J.
A comparative study of evaluation of radiographs, CT and 3D reformatted CT in facial
trauma: what is the role of 3D?.
Br J Radiol.
2005;
78
198-201
- 4
Linnau K F, Stanley R B, Hallam D K, Gross J A, Mann F A.
Imaging of high-energy midfacial trauma: what the surgeon needs to know.
Eur J Radiol.
2003;
48
17-32
- 5
Dos Santos D T, Costa e Silva A P, Vannier M W, Cavalcanti M G.
Validity of multislice computerized tomography for diagnosis of maxillofacial fractures
using an independent workstation.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod.
2004;
98
715-720
- 6
Alder M E, Deahl S T, Matteson S R.
Clinical usefulness of two-dimensional reformatted and three-dimensionally rendered
computerized tomographic images: literature review and a survey of surgeons’ opinions.
J Oral Maxillofac Surg.
1995;
53
375-386
- 7
Klenk G, Kovacs A.
Do we need three-dimensional computed tomography in maxillofacial surgery?.
J Craniofac Surg.
2004;
15
842-850
- 8
Fox L A, Vannier M W, West O C, Wilson A J, Baran G A, Pilgram T K.
Diagnostic performance of CT, MPR and 3DCT imaging in maxillofacial trauma.
Comput Med Imaging Graph.
1995;
19
385-395
- 9
Mayer J S, Wainwright D J, Yeakley J W, Lee K F, Harris J H, Kulkarni M.
The role of three-dimensional computed tomography in the management of maxillofacial
trauma.
J Trauma.
1988;
28
1043-1053
- 10
Hessel A, Roebuck J C, Perierea K D, Poole M D.
3D computed tomography reconstruction alter management decisions of facial fractures.
Otolaryngol Head Neck Surg.
2004;
131
243
Edmund A PribitkinM.D.
Associate Professor, Department of Otolaryngology-Head and Neck Surgery
Thomas Jefferson University, 925 Chestnut Street, Sixth Floor, Philadelphia, PA 19107
