Oral and Maxillofacial Surgery, Royal Dental Hospital of Melbourne, Carlton, Victoria, Australia.
Oral and Maxillofacial Surgery, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Emerg Med J. 2019 Sep;36(9):565-571. doi: 10.1136/emermed-2018-208332. Epub 2019 Jul 26.
Dental emergencies are common reasons for presenting to hospital emergency departments. Here, we discuss the panoramic radiograph (orthopantomogram (OPG, OPT) as a diagnostic tool for the assessment of mandibular trauma and odontogenic infections. In this article, we review the radiographic principles of image acquisition, and how to conduct a systematic interpretation of represented maxillofacial anatomy. The aim is to equip the emergency physician with the skills to use the OPG radiograph when available, and to rapidly assess the image to expedite patient management. Included is a discussion of a number of cases seen in the emergency setting and some common errors in diagnosis.
口腔急症是常见的就诊于医院急诊部门的原因。在这里，我们讨论曲面体层 X 线摄影（全景片 (OPG, OPT)）作为评估下颌骨外伤和牙源性感染的诊断工具。在本文中，我们回顾了图像采集的放射学原理，以及如何对所代表的颌面解剖结构进行系统解读。目的是使急诊医师能够在有条件时使用 OPG 射线照相，并快速评估图像以加快患者管理。本文还讨论了在急诊环境中看到的一些病例以及一些常见的诊断错误。
