Chagnaud C, Leluc O, Jaoua S, Gandolfi-Raoux C
Service de Radiologie et Imagerie Médicale, Hôpital de la Conception, 147, boulevard Baille, 13385 Marseille Cedex 5.
J Radiol. 2003 Jul-Aug;84(7-8 Pt 2):923-40.
The role of imaging in the management of maxillofacial trauma is to describe anatomical lesions and to detect complications and associated injuries. Plain films are still useful for minimal trauma, but CT-scan is the gold standard for complex trauma. Helical CT and multidetector row CT simplify the emergency imaging of horizontal struts (skull base, orbital floor, alveolar ridge and palate). The diagnosis, and sometimes the treatment of complications may require CT cisternography, MRI and angiography.
review mechanisms and classification of paranasal sinuses trauma; present the imaging techniques with special emphasis on CT; describe paranasal sinuses trauma features and pseudo-fracture patterns; describe complications and associated injuries.
影像学在颌面创伤管理中的作用是描述解剖学病变、检测并发症及相关损伤。平片对于轻微创伤仍有用，但CT扫描是复杂创伤的金标准。螺旋CT和多排探测器CT简化了水平支柱（颅底、眶底、牙槽嵴和腭）的急诊成像。并发症的诊断，有时还有治疗，可能需要CT脑池造影、MRI和血管造影。
回顾鼻窦创伤的机制和分类；介绍影像学技术，特别强调CT；描述鼻窦创伤特征和假骨折模式；描述并发症及相关损伤。
