Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA), P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.
Int J Oral Maxillofac Surg. 2011 Dec;40(12):1373-6. doi: 10.1016/j.ijom.2011.08.008. Epub 2011 Oct 1.
The purpose of the present study was to investigate the necessity of routine postoperative radiographic analysis in patients with maxillofacial trauma. Between January 2000 and January 2010, 579 patients were treated surgically for 646 maxillofacial fractures including complex maxillofacial trauma. The incidence of surgical retreatments based on postoperative radiographs after maxillofacial trauma were investigated. 16 patients needed surgical retreatment. The decision to revise was based on postoperative imaging alone in one patient (0.2%). The available data in the literature concerning postoperative radiography in maxillofacial trauma was reviewed. Six useful studies concerning postoperative radiography in maxillofacial trauma were available for review. When combining these studies a total of 1377 patients underwent surgery for correction of a maxillofacial fracture. Nine patients returned to the operating theatre for correction of the initial procedure after trauma (0.7%). The present results are in line with the available literature. Routine postoperative radiography is not necessary after surgical treatment of maxillofacial trauma. Avoiding routine postoperative radiography will lead to a reduction in exposure of patients to ionizing radiation, a reduction of costs and probably a more efficient discharge.
本研究旨在探讨颌面外伤患者术后常规放射学分析的必要性。2000 年 1 月至 2010 年 1 月期间，我们对 579 例颌面骨折患者（包括复杂颌面外伤）进行了手术治疗。调查了基于术后影像学的颌面外伤患者再次手术的发生率。16 例患者需要手术治疗。其中 1 例（0.2%）仅根据术后影像学决定再次手术。我们回顾了颌面外伤术后放射学的相关文献数据。共查阅了 6 项关于颌面外伤术后放射学的有用研究。综合这些研究，共有 1377 例患者接受了颌面骨折矫正手术。9 例患者因外伤后初次手术需再次手术（0.7%）。目前的结果与现有的文献一致。颌面外伤手术后不需要常规进行术后放射学检查。避免常规术后放射学检查可减少患者接受电离辐射的次数，降低成本，并可能提高出院效率。
