Role of Multidetector Computed Tomography in Evaluating Maxillofacial Injuries: A Comprehensive Study

Abstract

Background:

Maxillofacial trauma presents significant clinical challenges due to its impact on both physical appearance and mental well-being. Traditional imaging modalities, such as plain radiography, often fall short in providing detailed insights into complex facial fractures. This study aimed to evaluate the efficacy of multidetector computed tomography (CT) in the assessment of maxillofacial injuries, focusing on the benefits of 3D reconstructed images and comparing detection capabilities in axial and coronal planes.

Methods:

A total of 100 patients with a history of maxillofacial trauma and facial bone fractures were examined using multidetector CT. The data obtained were analyzed to assess the detection, extent, and displacement of various facial fractures across different imaging planes.

Results:

Multislice CT and 3D reconstructed images demonstrated superior capabilities in detecting and characterizing facial fractures compared to traditional axial and coronal CT scans. While 3D imaging excelled in detecting frontal and zygomatic bone fractures, axial and coronal scans were more effective in identifying fractures in the naso-orbito-ethmoid region and medial orbital wall.

Conclusion:

Multidetector CT, particularly when coupled with 3D reconstruction, offers a comprehensive and accurate imaging approach for evaluating maxillofacial injuries. Tailored imaging strategies, considering the specific injury location and complexity, are crucial for precise diagnosis and optimal treatment planning.

DOI: https://doi.org/10.52710/seejph.497