J Korean Soc Traumatol.  2006 Jun;19(1):28-34.

Comparison of the Usefulness of MDCT (Multidetective Computed Tomogram) in Facial Bone Fractures

• Hong YG
• Kim HT

Abstract

PURPOSE: In maxillofacial surgery, proper preoperative diagnosis is very important in achieving good postoperative results. Although conventional CT scans are useful for visual representations of fractures, they cannot provide direct guidance for reconstructing facial bone fractures. However, the recent technology of multislice scanning has brought many clinical benefits to CT images. Direct correlations can be made between preoperative imaging data and operative planning. The aim of the current study is to evaluate the differences between conventional CT and multidetective three-dimensional CT(3D MDCT) measurements in craniofacial deformities.
METHODS
From January 2005 to November 2005, MDCT scans of 41 patients were evaluated by comparing them with conventional CT scans. The 3D MDCT images were assessed and reviewed by using a simple scoring system.
RESULTS
The 3D MDCT scans offered easy interpretation, facilitated surgical planning, and clarified postoperative results in malar complex fractures, mandibular fractures, and extensive maxillofacial fractures and cranioplasty. However, 3D MDCT images were not superior to conventional CT scans in the diagnosis of blowout fractures.
CONCLUSION
In spite of its limitations, the 3D MDCT provided additional and more comprehensive information than the conventional CT for preoperative assessment of craniofacial deformities. Therefore, the 3D MDCT can be a useful tool for diagnosis and systematic treatment planning in craniofacial skeletal deformities.

Keyword

Conventional CT; Multidetective three-dimensional CT(3D MDCT); Facial bone fractures

MeSH Terms

Congenital Abnormalities
Diagnosis
Facial Bones*
Humans
Mandibular Fractures
Surgery, Oral
Tomography, X-Ray Computed