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JOURNAL OF MAXILLOFACIAL TRAUMA
Rivista di Traumatologia Maxillofacciale
Official Journal of the International Society of Maxillofacial Trauma
Journal of Maxillofacial Trauma 2014 April;3(1):9-16
Distribution pattern, assessment and classification of maxillofacial trauma by multidetector computed tomography
Singh S., Singh A., Gauba N., Deshmukh J.
Department of Radiodiagnosis Imaging, Govt. Medical College, Amritsar, India
AIM: The aim of study was to evaluate, assess and classify the maxillofacial fractures for surgical planning and treatment using multidetector computed tomography (MDCT).
METHODS: One hundred patients presenting with maxillofacial trauma were selected. Parameters like patient’s age, gender, mechanism of injury, type of facial injuries and complications were recorded.
RESULTS: A total of 100 patients were studied. Study included patient with maxillofacial trauma in age group of 1-70 years. Maxillofacial trauma was common in males accounting for 75 (75%) cases, as compared to females 25 (25%) cases with male to female ratio of 3:1. The mean age of maxillofacial trauma in our series was 25 yrs and the maximum age range between 21-30 years. Most injuries were caused by road traffic accident in in 67 (67%) cases followed by assault in 27 (27%) cases and fall in 12 (12%) cases. Mandible was most commonly fractured bone in 43 (43%) cases followed by nasal bone in 35 (35%) cases, maxillary bone in 32 (32%) cases, orbital bone in 26 (26%) cases, zygomatic bone fractures in 21 (21%) cases, frontal bones in 17 (17%) cases, and ethmoid bone in 12 (12%) cases. Regarding mandibular fractures, the majority of patients had fracture of body of mandible in 20 (46.57%)cases, angle of mandible 11 (25.58%) cases, mandibular condyle 6 (13.95%) cases. The distribution of maxillary fractures were Le Fort type I 9 (25%) cases, Le Fort II 4 (11%) cases and Le Fort Type III 1 (2%) case.
CONCLUSION: Our analysis was of the various types of facial bone fractures and their characteristics with various associated intracranial complications and outcome. MDCT scan is the imaging modality of choice as three dimensional reconstruction of image can detect even unsuspected facial bone fractures and useful in planning of treatment.