Assessment of changing patterns of Le fort fracture lines using computed tomography scan: an observational study.
Acta Odontol Scand
; 72(8): 984-8, 2014 Nov.
Article
en En
| MEDLINE
| ID: mdl-25227590
ABSTRACT
OBJECTIVES:
To assess the changing mid-face fracture patterns using a computed tomography scan.METHODOLOGY:
Fifty patients with mid-face trauma requiring open reduction and fixation were studied using 1.6 mm axial, sagittal, coronal and 3D images. Images were evaluated clinically, intra-operatively and finally were compared with standard Le Fort lines. Results. The male population dominated the female at a ratio of 11.51. The majority of the mid-face fractures were seen in the age group of 21-30 years. Road traffic accident (78%) was the major etiological factor followed by work-related accidents (12%) and assaults (10%). The CT scan analysis included categorizing the patients into three groups (1) Fracture patterns resembling Le Fort lines (24%); (2) Fracture patterns partially resembling Le Fort lines (56%); and (3) Fracture patterns that do not resemble Le Fort lines (20%).CONCLUSION:
With the change in the velocity of wounding object, there is a change in the mid-face fracture patterns. The majority of the cases present as a variant of classical Le Fort fractures. Computed tomography is a valuable diagnostic tool in assessing the fractures of the mid-face. 2D images are more sensitive than 3D images. However, both the images are required in delivery of an optimal treatment plan.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fracturas Craneales
/
Tomografía Computarizada por Rayos X
/
Huesos Faciales
Tipo de estudio:
Observational_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Acta Odontol Scand
Año:
2014
Tipo del documento:
Article
País de afiliación:
India