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Validity of compute...
Validity of computed tomography in diagnosing midfacial fractures.
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- de Carvalho, M F (author)
- Federal University of Juiz de Fora, Juiz de Fora, Brazil
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- Vieira, J N M (author)
- Federal University of Minas Gerais, Belo Horizonte, Brazil
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- Figueiredo, R (author)
- Federal University of Minas Gerais, Belo Horizonte, Brazil
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- Reher, P (author)
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
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- Chrcanovic, Bruno Ramos, DDS, MSc, PhD (author)
- Malmö universitet,Odontologiska fakulteten (OD)
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- das Graças Afonso Miranda Chaves, M (author)
- Federal University of Juiz de Fora, Juiz de Fora, Brazil
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(creator_code:org_t)
- Elsevier, 2021
- 2021
- English.
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In: International Journal of Oral and Maxillofacial Surgery. - : Elsevier. - 0901-5027 .- 1399-0020. ; 50:4, s. 471-476
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- The aim of this study was to evaluate the sensitivity, accuracy, and reliability of two-dimensional computed tomography (2D-CT) scans (axial, coronal, sagittal planes) and three-dimensional computed tomography (3D-CT) reconstructions in diagnosing midfacial fractures in relation to actual fractures identified clinically and during surgery (gold standard). The imaging diagnosis was performed by a radiologist and an oral and maxillofacial surgeon. Sixty-two patients with a total of 429 midfacial fractures were included. Frontal sinus and nose fractures were easily diagnosed. For the three CT planes, there was a statistically significant difference between the CT examination and the gold standard for five to seven of the nine bones evaluated, while for 3D-CT, a difference was observed only for fractures of the orbital floor. The inter-observer agreement between the oral and maxillofacial surgeon and the radiologist was 75.5%. In conclusion, in this study 3D-CT reconstructions showed significantly the best sensitivity, accuracy, and reliability for the diagnosis of midfacial fractures. The sagittal reconstructions were the least diagnostic of the 2D-CT images. For areas where the parameters studied showed less agreement and hence a more difficult diagnosis, we recommend a combination of 3D and 2D-CT images to improve diagnostic accuracy.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- Computed tomography
- Diagnosis
- Facial trauma
- Midfacial fractures
Publication and Content Type
- ref (subject category)
- art (subject category)
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