Accuracy of imaging modalities (CBCT/conventional radiography) in maxillofacial fractures - A cross sectional study

Govindaraju Sethuraman, Vanathan Kumaran Jimsha, S. Srinivasan, Mariyappan Jonathan Daniel
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Abstract

Maxillofacial trauma refers to any injury to the face or jaw caused by physical force, foreign objects, or burns. For all traumatic events imaging examination is an essential component which is done both pre-operatively and post-operatively. This study was to assess the accuracy of CBCT imaging and the conventional imaging in evaluation of maxillofacial fracture. To assess the maxillofacial fracture using conventional radiography and CBCT. To compare the diagnostic acurracy of cone beam computed tomography (CBCT) with conventional radiography. To validate the best method for assessment of maxillofacial trauma.: Depending on type of fracture conventional imaging and CBCT imaging was done. Following which fracture was assessed using AOCMF classification.The most common fracture was zygomatic complex fracture of about 76.9%. CBCT showed significant P-value in assessment of level-2 fracture evaluation, extension of fracture and in Level-3, number of fragment, angulations, displacement, inferior obital fissure, crown root fracture assessment. The sensitivity and specificity of CBCT was better than conventional imaging. CBCT assess the maxillofacial fracture more precisely than conventional imaging.
颌面部骨折成像模式(CBCT/常规x线摄影)的准确性-横断面研究
颌面部外伤是指由于外力、异物或烧伤造成的面部或下颌的任何损伤。对于所有创伤性事件,影像学检查是术前和术后的重要组成部分。本研究旨在评价CBCT与常规影像学在颌面部骨折诊断中的准确性。目的:应用常规x线摄影和CBCT对颌面部骨折进行评估。目的比较锥束计算机断层扫描(CBCT)与常规影像学诊断的准确性。目的:验证评估颌面部创伤的最佳方法。根据骨折类型分别行常规影像学和CBCT影像学检查。随后采用AOCMF分类对骨折进行评估。最常见的骨折是颧复合体骨折,约占76.9%。CBCT在2级骨折评估、骨折延伸、3级骨折碎片数量、角度、位移、下睑裂、冠根骨折评估中均显示显著p值。CBCT的敏感性和特异性均优于常规影像学。CBCT对颌面部骨折的评估比常规成像更精确。
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