College of Stomatology, Chongqing Medical University, Chongqing, China.
Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China.
J Xray Sci Technol. 2018;26(1):115-123. doi: 10.3233/XST-17342.
Maxillofacial injuries can be complex and are clinically important due to their functional and cosmetic significance. Maltreated and missed fractures might cause deformity of the face; thus, accurate evaluation of the fracture provided by X-ray images is critical. In this study, we explore the application of cone-beam computed tomography (CBCT) for diagnosis of severe maxillofacial traumas. A patient with a complex fracture that affects the maxilla, mandible, wall of the maxillary sinus, zygoma, zygomatic arch and nasal bone was diagnosed using 3D reconstruction of CBCT images. This diagnostic approach provides detailed information obtained by static images and a systematic model with unique advantages for the following pre-surgical evaluation, surgical treatment and prognostic assessment of complex maxillofacial fractures.
颌面损伤较为复杂，因其对功能和美观的影响而具有重要的临床意义。虐待和漏诊的骨折可能导致面部畸形；因此，X 射线图像提供的骨折准确评估至关重要。在本研究中，我们探讨了锥形束 CT（CBCT）在严重颌面外伤诊断中的应用。通过 CBCT 图像的 3D 重建，对一位上颌骨、下颌骨、上颌窦壁、颧骨、颧弓和鼻骨多处复杂骨折的患者进行了诊断。这种诊断方法通过静态图像和系统模型提供了详细的信息，对于复杂颌面骨折的术前评估、手术治疗和预后评估具有独特的优势。
