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Midface Fractures
Diagnosis of Maxillofacial Injuries
•DIAGNOSTIC IMAGING
–Panorex
–Plain films
–CT
–Stereolithography
Midface Fractures
Radiographic Evaluation
•Plain Films
–Lateral Skull
–Waters View
–Posteroanterior view of skull
–Submental vertex
•CT Scan
–1.5 mm cuts
–axial and coronal views
Midface Fractures
Radiographic Evaluation
Lateral skull |
Water’s View |
Midface Fractures
Radiographic Evaluation
CT Scan |
3D CT |
Midface Fractures
Lateral C-Spine Film
Midface Fractures
C-spine CTs
Midface Fractures
3D CT
Midface Fractures
Stereolithography
Midface Fractures
Radiographic Evaluation
Stereolithography allows actual model of defect. A nice reconstruction tool to use if available
Midface Fractures
Maxillofacial Injuries
•Treatment divided into following phases
–Emergency or initial care
–Early care
–Definitive care
–Secondary care or revision