Schimming R, Eckelt U, Kittner T
Department of Oral and Maxillofacial Surgery, University of Dresden, Germany.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 May;87(5):632-9. doi: 10.1016/s1079-2104(99)70147-2.
A prospective investigation designed to compare the diagnostic accuracy of conventional panoramic and posteroanterior mandibular radiographs with that of coronal computed tomography scans in cases of fracture of the mandibular condylar process was conducted.
In all, 182 patients with a total of 249 fractures (some unilateral and some bilateral) of the mandibular condyle received conventional radiographs and coronal computed tomography scans as diagnostic procedures. The ability of these procedures to detect and correctly classify these fractures was determined, and their importance for therapeutic decision-making is described.
All clinically identified fractures were detected by means of both conventional and computed tomography imaging. However, only computed tomography scanning could correctly classify high condylar neck fractures.
Especially in cases of high condylar neck fracture, coronal computed tomography scans were more useful than conventional radiographs in the determination of type of condylar fracture so that a correct treatment decision could be made.
进行一项前瞻性研究，比较传统全景片和下颌后前位片与冠状位计算机断层扫描在下颌髁突骨折病例中的诊断准确性。
总共182例下颌髁突骨折患者（有些是单侧骨折，有些是双侧骨折）接受了传统X线片和冠状位计算机断层扫描作为诊断手段。确定了这些检查手段检测并正确分类这些骨折的能力，并描述了它们在治疗决策中的重要性。
所有临床确诊的骨折通过传统成像和计算机断层成像均能检测到。然而，只有计算机断层扫描能够正确分类高位髁突颈部骨折。
特别是在高位髁突颈部骨折的病例中，冠状位计算机断层扫描在确定髁突骨折类型方面比传统X线片更有用，从而能够做出正确的治疗决策。
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