Current perspective of multidetector computed tomography (MDCT) in patients after midface and craniofacial trauma

Clin Imaging. 2013 Jul-Aug;37(4):728-33. doi: 10.1016/j.clinimag.2012.11.002. Epub 2013 Jan 9.

Abstract

Purpose: The purpose of the study was to determine the prevalence of fractures and incidental findings (IF) with emphasis on clinical significance.

Materials and methods: A total of 784 patients were evaluated by computed tomography. Fractures and IF were registered and classified as significant if they were recommended for additional diagnostics or therapy.

Results: Four hundred seventy of 784 patients (60%) sustained a fracture. Significant fractures were found in 694/1213 fractures (57%); nonsignificant fractures were found in 519/1213 (43%) fractures. A total of 972 IF were observed in 464/784 (59%) patients. Significant findings were found in 358/972 findings (37%). There were 1.5 fractures and 1.2 IF per patient.

Conclusion: There is a high prevalence of significant fractures (57%) and IF (37%).

MeSH terms

  • Accidental Falls / statistics & numerical data
  • Accidents / statistics & numerical data
  • Accidents, Traffic / statistics & numerical data
  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Brain Diseases / epidemiology
  • Brain Neoplasms / epidemiology
  • Causality
  • Cerebrovascular Disorders / epidemiology
  • Child
  • Child, Preschool
  • Comorbidity
  • Facial Bones / diagnostic imaging*
  • Facial Bones / injuries*
  • Facial Injuries / diagnostic imaging*
  • Facial Injuries / epidemiology*
  • Female
  • Fractures, Bone / diagnostic imaging*
  • Fractures, Bone / epidemiology*
  • Humans
  • Incidental Findings
  • Male
  • Middle Aged
  • Multidetector Computed Tomography*
  • Prevalence
  • Retrospective Studies
  • Sex Distribution
  • Violence / statistics & numerical data
  • Young Adult