Do we need three-dimensional computed tomography in maxillofacial surgery?
In a retrospective clinical study (2000-2003), 121 patients' radiographs and computed tomography scans were reviewed to establish the clinical value of three-dimensional computed tomography. Eighty patients had computed tomography scans; 48 had three-dimensional computed tomography scans for diagnosing facial fractures, 3 for diagnosing temporomandibular joint ankylosis, 1 for tumor with bone destruction, and 1 for a mandibular cyst. It is concluded that axial, coronal, and three-dimensional computed tomography is of crucial importance and should be mandatory for all suspected comminuted and displaced midface fractures instead of plain radiographs. Three-dimensional computed tomography is also recommended for comminuted mandibular fractures and temporomandibular joint ankylosis. Three-dimensional computed tomography is not recommended for the diagnosis of minimally displaced fractures.
Klenk
Gusztav
G
Department of Maxillofacial Surgery, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates. gusztavklenk@yahoo.co.uk
Kovacs
Adam
A
D005147:Facial Bones / Q000293:injuries; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional; D007573:Jaw Neoplasms / Q000000981:diagnostic imaging; D008446:Maxillofacial Injuries / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D012887:Skull Fractures / Q000000981:diagnostic imaging*; D025321:Surgery, Computer-Assisted; D013515:Surgery, Oral / Q000379:methods*; D036542:Tomography, Spiral Computed; D014082:Tooth Fractures / Q000000981:diagnostic imaging