Orbital wall fractures. Conventional views and CT.
In order to evaluate the benefit derived by conventional views in the initial diagnosis of fractures of the orbital walls, a clinical study was designed to compare the results of evaluations by plain films and coronal CT scans. The conventional Caldwell's and Waters' views will provide a fairly reliable result as to the presence of orbital fractures: orbital floor (anterior in 78%, posterior in 73%), medial orbital wall (anterior in 71%, posterior in 72%), and ethmoid-maxillary plate in 64%. False-negative diagnosis was seen at the anterior portion of the floor in 13%, at the anterior portion of the medial orbital wall in 7%, and at the ethmoid-maxillary plate in 11%. False-negative diagnosis was seen at the orbital floor (anterior in 9%, posterior in 10%), at the medial orbital wall (anterior in 21%, posterior in 29%), and at the ethmoid-maxillary plate in 21%. Our results agree well with those of the past reports.
Iinuma
T
T
Department of Otolaryngology, Saitama Medical College, Japan.
Hirota
Y
Y
Ishio
K
K
D000328:Adult; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D008297:Male; D009917:Orbital Fractures / Q000000981:diagnostic imaging*; D011859:Radiography / Q000379:methods; D014057:Tomography, X-Ray Computed; D015051:Zygomatic Fractures / Q000000981:diagnostic imaging*