J Korean Radiol Soc.  1988 Feb;24(1):68-75. 10.3348/jkrs.1988.24.1.68.

The role of computed tomography in complex facial trauma

• Chung SY
• Bae SH
• Yoon JS

• KMID: 2359312
• DOI: http://doi.org/10.3348/jkrs.1988.24.1.68

Abstract

Tridmensional localization of bone and soft tissue injuries in complex facial trauma is fundamental fortreatment. The face can be conceptualized as 3 groups of interconnnected ossseous strults that are oriented in thehorizontal, sagittal and coronal planes. Each group of struts si closely related to specific soft tissuestructures that are susceptible to injury. Any single CT section in the coronal plane or in the axial planecontains parts of one or more these struts. Facial CT in biplane were performed in 32 patients of facial trauma,The most common site of facial fractures is found in middle part of horizontal struts, geometrically inanteromedial portion of the inferior orbital fissure of the face. The most common soft tissue injury combined withfacial fracture is hematoma and/or herniated orbital contents into the maxillary sinus. The serious combined softtissue injuries were ocular rupture, retroorbital hematoma and optic nerve injury resulting blindness. CT wassuperior to conventional lineal tomography for evaluation of the extent of fracture, directionof displaced bonefragments, simultaneously associated brain and soft tissue injurieis except thin linear fracture. So CT in biplaneshould be considred after screening simple X-ray study in complex facial trauma,

MeSH Terms

Blindness
Brain
Hematoma
Humans
Mass Screening
Maxillary Sinus
Optic Nerve Injuries
Orbit
Rupture
Soft Tissue Injuries