Three Dimensional CT Reconstruction for the Evaluation and Surgical Planning of Mid Face Fractures: A 100 Case Study.

BACKGROUND: 3D CT reconstruction is increasingly becoming a valuable tool in maxillofacial trauma. The aim of this study is to evaluate the role of three dimensional computed tomography as compare to conventional radiography in diagnosis and management of mid face fractures.

METHODS: Hundred patients of mid face fractures were included in this study. After clinical examination patients were subjected to conventional radiographs. To arrive at correct diagnosis and treatment plan, each patient was subjected to 3D reconstruction.

RESULTS: Out of hundred patients of maxillofacial trauma 80% were male and 20% were females. Based on the etiology road traffic accidents (75%) were the most common, followed by assault (16%), fall (7%) and sports related accidents (2%). In 28 cases (28%) 3D CT had significant bearing in final diagnosis and treatment planning of mid face fractures.

CONCLUSIONS: 3D CT is valuable in case of severe facial injury, enabling a clear perception of extent of major fracture line and resulting displacement of fragments. So this new modality permits preoperative analysis and surgical planning as compared to conventional radiography in case of mid face fractures.