Role of Computed Radiography, 2-Dimensional Computed Tomography and 3- Dimensional Reformatted Computed Tomography in Evaluation of Craniofacial Trauma.

Dhok Avinash, Chandak Krushna, Mitra Kajal.

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OBJECTIVE:. To determine the etiology and severity of craniofacial trauma and to classify the craniofacial fractures with respect to frequency of  their relative occurrence and  to evaluate the sensitivity and specificity of Radiographs, two dimensional Computed Tomography.three dimensional Computed Tomography in   craniofacial injuries and  related intraparenchymal pathology. MATERIAL AND METHODS:  100 consecutive patients were evaluated from November 2011 to October 2013 on high frequency Computed Radiography machine and 16-slice multidetector computed tomography(MDCT)who presented to casualty with history of craniofacial truma,  at NKP Salve Institute Of Medical Sciences and Lata Mangeshkar Hospital  Nagpur. RESULTS: Maximum number of patients were in the age group of 21-30 years (39%)) with mean age of 28.5 years. There was male preponderance (85%) as compared to females (15%). Commonest mode of injury was Road Traffic Accident, accounting for 73% cases. Maximum number of facial fractures were noted in maxilla. Maximum cranial bone fractures were seen in temporal bone. Commonest intracranial pathology was subarachnoid hemorrhage which was more commonly seen in frontal region. CONCLUSION: Very high number of young male patients were involved  as compared to female patients . Two dimensional Computed Tomography was 100% sensitive and 100% specific  in detecting the craniofacial fractures and associated injuries. The sensitivity of Computed Radiography for detecting facial fractures was 54.05%  and  for cranial fractures was  19.5%.The sensitivity of three dimensional Computed Tomography for detecting facial fractures was 98.9 % and for cranial fractures 93.8%.   

Craniofacial trauma Computed Radiography 2DComputed Tomography 3DComputed Tomography Road traffic accident.