Facial Plast Surg 2005; 21(3): 214-220
DOI: 10.1055/s-2005-922862
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Use of Three-Dimensional Computerized Tomography Reconstruction in Complex Facial Trauma

Kapil Saigal1 , Ronald S. Winokur2 , Steven Finden3 , Daniel Taub4 , Edmund Pribitkin1
  • 1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania
  • 2Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
  • 3Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania
  • 4Department of Oral and Maxillofacial Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
23 November 2005 (online)

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.

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

    >