Accuracy of imaging modalities (CBCT/conventional radiography) in maxillofacial fractures - A cross sectional study

Authors : Govindaraju Sethuraman, Vanathan Kumaran Jimsha, Subramanian Vasudevan Srinivasan, Mariyappan Jonathan Daniel

DOI : 10.18231/j.ijmi.2023.016

Volume : 9

Issue : 2

Year : 2023

Page No : 83-90

Introduction: Maxillofacial trauma refers to any injury to the face or jaw caused by physical force, foreign objects, or burns. For all traumatic events imaging examination is an essential component which is done both pre-operatively and post-operatively. This study was to assess the accuracy of CBCT imaging and the conventional imaging in evaluation of maxillofacial fracture.
Aims and Objectives: To assess the maxillofacial fracture using conventional radiography and CBCT. To compare the diagnostic acurracy of cone beam computed tomography (CBCT) with conventional radiography. To validate the best method for assessment of maxillofacial trauma.
Materials and Methods: Depending on type of fracture conventional imaging and CBCT imaging was done. Following which fracture was assessed using AOCMF classification.
Results: The most common fracture was zygomatic complex fracture of about 76.9%. CBCT showed significant P-value in assessment of level-2 fracture evaluation, extension of fracture and in Level-3, number of fragment, angulations, displacement, inferior obital fissure, crown root fracture assessment. The sensitivity and specificity of CBCT was better than conventional imaging.
Conclusion: CBCT assess the maxillofacial fracture more precisely than conventional imaging.
 

Keywords: Maxillofacial trauma, Conventional imaging, CBCT.


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