Dorobisz H, Voegeli E, Hardt N
Rontgenblatter. 1983 Dec;36(12):428-33.
The possibilities and limitations of conventional radiography and CT in detecting maxillo-facial fractures are shown both experimentally and in a clinical setting. In 36 patients examined by both methods after maxillo-facial trauma, CT and conventional radiography (including pluridirectional tomography) proved to be equal in detecting fractures of the orbital roof, the anterior wall of the frontal sinus, the nasal bone and the pterygoid process. CT is inferior to conventional radiography in fracture of the orbital floor, the frontal base of the skull, the hard plate and the zygomatic arch. CT is superior to conventional radiography in fractures of the medial and lateral wall of the orbit, the posterior wall of the frontal sinus, the posterior, medial and anterior wall of the maxillary sinus as well as the zygomatic bone.
传统X线摄影和CT在检测颌面部骨折方面的可能性和局限性在实验和临床环境中均有体现。在36例颌面部创伤后接受两种方法检查的患者中，CT和传统X线摄影（包括多向断层摄影）在检测眶顶、额窦前壁、鼻骨和翼突骨折方面效果相当。在眶底、颅前窝、硬腭和颧弓骨折方面，CT不如传统X线摄影。在眼眶内侧壁和外侧壁、额窦后壁、上颌窦后壁、内侧壁和前壁以及颧骨骨折方面，CT优于传统X线摄影。
