Yıl: 2021 Cilt: 20 Sayı: 2 Sayfa Aralığı: 86 - 90 Metin Dili: İngilizce DOI: 10.4274/eajem.galenos.2020.46547 İndeks Tarihi: 17-11-2021

The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures

Öz:
Aim: This study aimed to investigate the ability of routine cranial computed tomography (CT) to detect facial bone fractures, taking the maxillofacial, orbital, and temporal bones CT as reference.Materials and Methods: Patients who presented to the emergency department with head trauma and undergoing cranial CT were included in the study. Cases in the study group were also assessed using at least one of maxillofacial, orbital, or temporal CT.Results: Fracture was present in 155 patients who were examined by maxillofacial, orbital, or temporal CT. Moreover, 59 patients had a single fracture and 96 had more than one fracture. Fractures were determined completely and accurately in 71 patients using cranial CT. Cranial CT successfully provided the fracture diagnosis in 48 of 96 patients with multiple fractures, but all fracture lines in these patients were not shown. Eleven patients were reported as having false-positive results. The effectiveness of cranial CT was presented as a sensitivity of 45.8%, specificity of 93.1%, positive predictive value of 86.6%, negative predictive value of 63.8%, and kappa value of 0.39. Cranial CT identified 11 of 21 temporal, 33 of 50 nasal, 27 of 35 zygomatic, 3 of 4 occipital, 8 of 17 ethmoid, and 19 of 23 frontal bone fractures.Conclusion: CT assists in the detection of small, non-displaced fractures at the temporal, maxillofacial, and orbital bones owing to its advantages such as having thin slice thickness, use of a bone algorithm, and ability to reformat images.
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  • 1. Allareddy V, Allareddy V, Nalliah RP. Epidemiology of facial fracture injuries. J Oral Maxillofac Surg. 201;69:2613-8.
  • 2. Aksoy E, Unlü E, Sensöz O. A retrospective study on epidemiology and treatment of maxillofacial fractures. J Craniofac Surg. 2002;13:772-5.
  • 3. Kim JJ, Huoh K. Maxillofacial (midface) fractures. Neuroimaging Clin N Am. 2010;20:581-96.
  • 4. Ribeiro Ribeiro AL, da Silva Gillet LC, de Vasconcelos HG, de Castro Rodrigues L, de Jesus Viana Pinheiro J, de Melo Alves-Junior S. Facial Fractures: Large Epidemiologic Survey in Northern Brazil Reveals Some Unique Characteristics. J Oral Maxillofac Surg. 2016;74:2480.
  • 5. Tung TC, Tseng WS, Chen CT, Lai JP, Chen YR. Acute life-threatening injuries in facial fracture patients: a review of 1,025 patients. J Trauma. 2000;49:420-4.
  • 6. Shah S, Uppal SK, Mittal RK, Garg R, Saggar K, Dhawan R. Diagnostic tools in maxillofacial fractures: Is there really a need of three-dimensional computed tomography? Indian J Plast Surg. 2016;49:225-33.
  • 7. Sohns JM, Staab W, Sohns C, Schwarz A, Streit U, Hosseini AS, et al. Current perspective of multidetector computed tomography (MDCT) in patients after midface and craniofacial trauma. Clin Imaging. 2013;37:728-33.
  • 8. Shaikh ZS, Worrall SF. Epidemiology of facial trauma in a sample of patients aged 1-18 years. Injury. 2002;33:669-71.
  • 9. Hwang K, You SH. Analysis of facial bone fractures: An 11-year study of 2,094 patients. Indian J Plast Surg. 2010;43:42-8.
  • 10. Koh JH, Bhatti O, Mahmood A, Agar N. Traumatic nasal injuries in general practice. Aust Fam Physician. 2016;45:650-3.
  • 11. Baek HJ, Kim DW, Ryu JH, Lee YJ. Identification of Nasal Bone Fractures on Conventional Radiography and Facial CT: Comparison of the Diagnostic Accuracy in Different Imaging Modalities and Analysis of Interobserver Reliability. Iran J Radiol. 2013;10:140-7.
  • 12. Hopper RA, Salemy S, Sze RW. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 2006;26:783-93.
  • 13. Kim YJ, Ahn S, Seo DW, Sohn CH, Lee HJ, Park IJ, et al. Patterns and injuries associated with orbital wall fractures in elderly patients who visited the emergency room: a retrospective case-control study. BMJ Open. 2016;6:e011110.
  • 14. Brodie HA, Thompson TC. Management of complications from 820 temporal bone fractures. Am J Otol. 1997;18:188-97.
  • 15. Nosan DK, Benecke JE Jr, Murr AH. Current perspective on temporal bone trauma. Otolaryngol Head Neck Surg. 1997;117:67-71.
  • 16. Johnson DW, Hasso AN, Stewart CE 3rd, Thompson JR, Hinshaw DB Jr. Temporal bone trauma: high-resolution computed tomographic evaluation. Radiology. 1984;151:411-5.
  • 17. Zayas JO, Feliciano YZ, Hadley CR, Gomez AA, Vidal JA. Temporal bone trauma and the role of multidetector CT in the emergency department. Radiographics. 2011;31:1741-55.
APA das m, Resorlu M, KARATAĞ O, Uysal F, ÖZTÜRK M (2021). The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. , 86 - 90. 10.4274/eajem.galenos.2020.46547
Chicago das murat,Resorlu Mustafa,KARATAĞ Ozan,Uysal Fatma,ÖZTÜRK Muhsin Özgün The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. (2021): 86 - 90. 10.4274/eajem.galenos.2020.46547
MLA das murat,Resorlu Mustafa,KARATAĞ Ozan,Uysal Fatma,ÖZTÜRK Muhsin Özgün The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. , 2021, ss.86 - 90. 10.4274/eajem.galenos.2020.46547
AMA das m,Resorlu M,KARATAĞ O,Uysal F,ÖZTÜRK M The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. . 2021; 86 - 90. 10.4274/eajem.galenos.2020.46547
Vancouver das m,Resorlu M,KARATAĞ O,Uysal F,ÖZTÜRK M The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. . 2021; 86 - 90. 10.4274/eajem.galenos.2020.46547
IEEE das m,Resorlu M,KARATAĞ O,Uysal F,ÖZTÜRK M "The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures." , ss.86 - 90, 2021. 10.4274/eajem.galenos.2020.46547
ISNAD das, murat vd. "The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures". (2021), 86-90. https://doi.org/10.4274/eajem.galenos.2020.46547
APA das m, Resorlu M, KARATAĞ O, Uysal F, ÖZTÜRK M (2021). The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. Eurasian Journal of Emergency Medicine, 20(2), 86 - 90. 10.4274/eajem.galenos.2020.46547
Chicago das murat,Resorlu Mustafa,KARATAĞ Ozan,Uysal Fatma,ÖZTÜRK Muhsin Özgün The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. Eurasian Journal of Emergency Medicine 20, no.2 (2021): 86 - 90. 10.4274/eajem.galenos.2020.46547
MLA das murat,Resorlu Mustafa,KARATAĞ Ozan,Uysal Fatma,ÖZTÜRK Muhsin Özgün The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. Eurasian Journal of Emergency Medicine, vol.20, no.2, 2021, ss.86 - 90. 10.4274/eajem.galenos.2020.46547
AMA das m,Resorlu M,KARATAĞ O,Uysal F,ÖZTÜRK M The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. Eurasian Journal of Emergency Medicine. 2021; 20(2): 86 - 90. 10.4274/eajem.galenos.2020.46547
Vancouver das m,Resorlu M,KARATAĞ O,Uysal F,ÖZTÜRK M The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures. Eurasian Journal of Emergency Medicine. 2021; 20(2): 86 - 90. 10.4274/eajem.galenos.2020.46547
IEEE das m,Resorlu M,KARATAĞ O,Uysal F,ÖZTÜRK M "The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures." Eurasian Journal of Emergency Medicine, 20, ss.86 - 90, 2021. 10.4274/eajem.galenos.2020.46547
ISNAD das, murat vd. "The Effectiveness of Routine Cranial Computerized Tomography inthe Evaluation of Facial Bone Fractures". Eurasian Journal of Emergency Medicine 20/2 (2021), 86-90. https://doi.org/10.4274/eajem.galenos.2020.46547