Reiner S A, Schwartz D L, Clark K F, Markowitz N R
Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City 73190-3048.
Arch Otolaryngol Head Neck Surg. 1989 Sep;115(9):1083-5. doi: 10.1001/archotol.1989.01860330073020.
Proper radiographic evaluation is essential to confirm the presence and location of a mandibular fracture. The panoramic view of the mandible is considered to be a very accurate technique and has been heavily relied on by many clinicians as the initial or sole means of diagnosing mandibular fractures. Three cases of mandibular fractures are presented in which a panoramic view failed to demonstrate fractures of the mandible that were obvious on plain film radiographs. Diagnosis and treatment planning should not be based on the information obtained from a single roentgenogram such as a panoramic view. The combination of the mandibular series with the panoramic view provides increased diagnostic information that should enable accurate diagnosis of fractures in all areas of the mandible.
正确的影像学评估对于确认下颌骨骨折的存在和位置至关重要。下颌骨全景片被认为是一种非常准确的技术，许多临床医生严重依赖它作为诊断下颌骨骨折的初始或唯一手段。本文介绍了三例下颌骨骨折病例，其中全景片未能显示出在平片X线照片上明显的下颌骨骨折。诊断和治疗计划不应基于从单一X线照片（如下颌骨全景片）获得的信息。下颌骨系列片与全景片相结合可提供更多诊断信息，应能准确诊断下颌骨所有区域的骨折。
