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ID:19776388
大小:3.20 MB
页数:44页
时间:2018-10-06
《华西口腔口腔颌面影像诊断学外伤课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、DiagnosticRadiologyOfMaxillofacialPartofInjury吴红兵MostcommonresponsibleFallAutomobileaccidentBlowsfromforeignbodiesstrkingOthers头部、颌面部受伤的处理危险的颅内出血。意识消失或神智模糊,呼吸困难,呕吐,抽搐,手脚麻痹,口或鼻腔流血或透明的液体,剧烈头痛持续不止等等。原则:先处理颅脑症状,稳定全身生命体征,后治疗颌面部损伤。AppliedradiologyTheprescriptionofappropriat
2、efilmcanbemadeonlyafteracarefulclinicalexaminationRadiologyaidsinidentifyingthelocationandorientationoffracturesandindicatesthedegreeofseparationordisplacementoffracturemargins.RadiographsareveryusefulafteraninjuryTesttechnicsWater’sposition(华氏位、鼻颏位)Panoramic曲面断层片(全景)
3、Cephalometric(X线头影测量片)orlateralfilm(侧位片)Occlusalfilm咬合片Submentovertex(颅底位、颏顶位、颧弓位)Zygomaticbone-PA(颧骨后前位、顶颏位)Post–anteriorposition(下颌骨后前位)Obliguelateralprojection(下颌骨斜侧位)Schullar’sposition(薛氏位、颞下颌关节片)CTandMRIDiagnosticprinciple1.positionandnumber2.types3.displacement4
4、.relationbetweenthefracturelineandteeth5.differentiatefromnutritioncanalandnormalsutures6.concrescenceoffracturespositionandnumberoffracturesTypesDisplacementrelationbetweenthefracturelineandteethdifferentiatefromnutritioncanalandnormalsuturesAlveolarfractureAlveolar
5、fracturecompanywithtoothinlayMaxillaryfractureFractureTypesofmaxillarboneLefortⅠLefortⅡLefortⅢLefortⅠ(horizontalfracture)LefortⅡLefortⅢLefortⅢfractureWaterspositionRight---lefortⅡleft---lefortⅡandⅢWatersposition(眶-上颌-颧骨OMZ、复合骨折)FracturesofZygomaticboneandarchAfteroper
6、ationComminuteFractureofzygomaticarch“M”typeofsubmentovertexFractureofnosebonePayattentiontothemaxillarybonefracture!!!1、双侧眼眶及上颌窦大小不一,窦腔积液昏暗2、骨折线多样,骨折块移位,左右眶下缘不在、同一水平3、牙弓不对称4、颌间间隙形态不对称5、张口受限是否由于喙突受压?6、骨折是否波及颅及颅底?FractureofmandibleThemostommonfracturesitesmentalbodyang
7、lecondyleandit`sneckClassificationofthecondylefracturePleaselookatbookP158—P161PanoramicviewPanoramicviewY字型PanoramicviewPanoramicviewPanoramicviewPanoramicviewPost–anteriorposition(PA)Post–anteriorpositionCTview3DdimensionreconstructionTomographicviewandCT-3DPatholog
8、icfractureOrientedfromtumors,Osteomyelitis,toothextraction,operationetc.陈旧性骨折X-rayappearancetime异物定位横向位片轴向位片定位针Questions?骨折后
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