Year : 2022

Volume : Volume 13

Issue : Issue 4

Address for correspondence :
Dr. Pawan K. Prasad
drpawanprasad1993@gmail.com

Abstract

Background: Facial fractures can result in functional and cosmetic defect thus accurate diagnosis is of prime importance for correct treatment. In the past conventional radiograph were most commonly used for diagnosis. However, it has disadvantages of over lapping and chances of misdiagnosis were more. Computed tomography has overcome the disadvantages of conventional technique with added advantage of reconstruction. This study aims to identify and document different radiological fracture patterns seen on Conventional radiograph, computed tomography (CT) and 3D CT with pattern seen at surgical site. Material and Methods: A prospective study was conducted on total of 60 patients with facial trauma who was reported to our department. Study period ranged 18–24 months. Facial fractures cases were chosen from Conventional radiograph, CT, and 3D CT to reflect spectrum of facial trauma from simple localized fracture to complex facial injury. The best method for classification of fracture was determined. Result: This study group composed of 60 patients, age group ranged from 11 to 60 years, among which 21–30 age group was found to be most affected age group with male predilection was found to be more, which was around 95% and female 5%. Road traffic accident remains the commonest cause, comprising 96.66% of cases assault comprising 3.33%. The data for the present study was entered in the Microsoft Excel 2007 and analyzed using the SPSS Statistical Software 19.0 Version. The comparison between different groups was done using the Chi-square test. Conclusion: It is safe to state that pertaining to technological advances, improved level of precision achieved in CT and 3D CT imaging has made it possible to demonstrate accurate relationships of discontinuity fragments in maxillofacial trauma.

Keywords: Facial fractures, Conventional radiographs, Computed tomography, 3D computed tomography.