[Roentgen diagnosis of midfacial fractures].

Abstract

The course and configuration of typical maxillofacial fractures (type Le Fort I-III) and lateral maxillary fractures including the zygomatic arch were reconstructed in detail by application of barium paste on a bony skull and radiographs in standard projections were performed and evaluated. It was obvious from the resulting radiographs that for most maxillofacial fractures a half axial or Water's view was most helpful. Lateral views only give additional information when there is a considerable degree of dislocation of fragments. Comparison with a pediatric skull of 8 years of age demonstrated that fractures of the zygomatic arch in this age group cannot be demonstrated by the typical submento-vertical view, but are shown on a Towne projection. The radiographic appearance of important maxillofacial fractures is demonstrated. The necessity of further studies in cases where reconstructive surgery appears necessary is discussed and CT rather then conventional tomography is advocated.

• Authors: M Litwan, C Fliegel
• Journal: Der Radiologe (Radiologe) Vol. 26 Issue 9 Pg. 421-6 (Sep 1986) ISSN: 0033-832X [Print] Germany
• Vernacular Title: Zur Röntgendiagnostik von Mittelgesichtsfrakturen.
• PMID: 3775029 (Publication Type: Journal Article)

Topics

• Alveolar Process (injuries)
• Facial Bones (injuries)
• Fractures, Open (diagnostic imaging)
• Humans
• Maxillary Fractures (diagnostic imaging)
• Nasal Bone (injuries)
• Orbital Fractures (diagnostic imaging)
• Skull Fractures (diagnostic imaging)
• Tomography, X-Ray Computed
• Zygomatic Fractures (diagnostic imaging)