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1、MultidetectorandThree-DimensionalCTEvaluationofthePatientWithMaxillofacialInjuryLauraL.Avery,MDa,*,SrinivasM.Susarla,MD,DMD,MPHb,RobertA.Novelline,MDaKEYWORDSMaxillofacialinjuryFacialfracturesMultidetectorCTFacialtraumaInterpretationofimagesassociatedwitht
2、hestraightforwardfrommultidetectorCTsourcetraumaticallyinjuredfaceischallenging.Theimagesandhasbeenshowntoaidinthediagnosiscomplexityoffacialanatomy,coupledwithandmanagementofcomplex,multiplanarfacialin-thesuperimpositionofnumerousbonystructuresjuries.11e15Alt
3、houghisolatedmandibularfracturesonplainradiographs,posesspecificobstaclestohaveoftenbeenaccuratelydiagnosedusingplainaccurateinterpretationoffacialinjury.Althoughfilmtechniques,notablelimitationsincludesagittalplainradiographscanbehelpfulincasesofiso-fractures
4、ofthemandibularcondyleandanteriorlatedinjuries,CTisthemostusefulmodalityfordisplacementofthecondyle(oftenseenwithsub-evaluatingfacialinjury.Whencomparedwithcondylarfractures),bothofwhicharemoreeasilyradiographs,CTcanbeacquiredfaster(6visualizedonCT.16,17Finall
5、y,intheintubatedseconds)witheasypatientpositioningandtraumapatientwithsuspectedfacialinjuries,minimaldependenceonpatientcooperation.directexaminationisoftenlimitedandover50%Interpretationissimplifiedbytheuseofmultide-ofthefacialfracturesmaynotbeapparentfromtec
6、torCTwithtwo-andthree-dimensionalrefor-clinicalevaluationalone.18mations,whichallowsforaccurateandefficientThisarticlereviewsfacialanatomyasitpertainsdiagnosisofthehardandsofttissuesofthemaxil-totraumaticinjury,emphasizestheclinicalfind-lofacialregion.1e9Inadd
7、ition,surgicalplanningisingsassociatedwithvarioustypesoffacialinjury,facilitatedbytheuseofCT,whichallowsforanandsimplifiesthediagnosisoffacialinjuryonCT.accurateassessmentofskeletalstability,rotation,anddisplacementofbonyfragments.Multidetec-TECHNIQUEtorCTalso
8、hasthenotableadvantageofrapidimageacquisition,withlessmotion-artifact,andAcquisitionofhigh-resolutionimagesisimperativetwo-dimensionalreformationsinmultipleplanesforproperdiagnosis
