[The value of 2- and 3-dimensional computed tomography in the diagnosis and classification of midfacial and orbital fractures].
The value of 2D- and 3D-computed assisted tomography in detecting and classifying midfacial fractures and craniofacial deformities acquired by gunshot injuries was assessed in 123 resp. 26 patients and compared with the postoperative results. In a comparative study 37 patients were prospectively examined by pluridirectional tomography. Examinations of a macerated skull were performed to optimize 3D investigation technique. High resolution CT proved to be the most reliable technique in detecting midfacial fractures and associated soft tissue injuries. 3D-imaging of bony surfaces allowed clear demonstration of fraction extent and fragment displacement without offering additional detail information. 3D-based computer-assisted manufacturing of individual models facilitated surgical planning of complex midfacial injuries.
Fürst
G
G
Institut für Diagnostische Radiologie, Heinrich Heine Universität, Düsseldorf.
Reinert
S
S
Passelk
C
C
Kuhn
P
P
Lentrodt
J
J
Mödder
U
U
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D005147:Facial Bones / Q000000981:diagnostic imaging* / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000000981:diagnostic imaging; D009917:Orbital Fractures / Q000145:classification / Q000000981:diagnostic imaging* / Q000453:epidemiology; D011446:Prospective Studies; D012887:Skull Fractures / Q000145:classification / Q000000981:diagnostic imaging* / Q000453:epidemiology; D014056:Tomography, X-Ray / Q000706:statistics & numerical data; D014057:Tomography, X-Ray Computed / Q000379:methods* / Q000706:statistics & numerical data
Stellenwert der 2- und 3dimensionalen Computertomographie bei der Diagnostik und Klassifikation von Mittelgesichts- und Orbitafrakturen.