Iinuma T, Hirota Y, Ishio K
Department of Otolaryngology, Saitama Medical College, Japan.
Rhinology. 1994 Jun;32(2):81-3.
In order to evaluate the benefit derived by conventional views in the initial diagnosis of fractures of the orbital walls, a clinical study was designed to compare the results of evaluations by plain films and coronal CT scans. The conventional Caldwell's and Waters' views will provide a fairly reliable result as to the presence of orbital fractures: orbital floor (anterior in 78%, posterior in 73%), medial orbital wall (anterior in 71%, posterior in 72%), and ethmoid-maxillary plate in 64%. False-negative diagnosis was seen at the anterior portion of the floor in 13%, at the anterior portion of the medial orbital wall in 7%, and at the ethmoid-maxillary plate in 11%. False-negative diagnosis was seen at the orbital floor (anterior in 9%, posterior in 10%), at the medial orbital wall (anterior in 21%, posterior in 29%), and at the ethmoid-maxillary plate in 21%. Our results agree well with those of the past reports.
为了评估传统视图在眼眶壁骨折初步诊断中的益处，设计了一项临床研究，以比较平片和冠状位CT扫描的评估结果。传统的考德威尔氏位和华氏位对于眼眶骨折的存在能提供相当可靠的结果：眶底（前部为78%，后部为73%）、眶内侧壁（前部为71%，后部为72%）以及筛窦-上颌骨板为64%。在眶底前部出现假阴性诊断的比例为13%，眶内侧壁前部为7%，筛窦-上颌骨板为11%。在眶底（前部为9%，后部为10%）、眶内侧壁（前部为21%，后部为29%）以及筛窦-上颌骨板出现假阴性诊断的比例为21%。我们的结果与过去的报告结果非常吻合。
