Multidetector computed tomography imaging of facial trauma in accidental falls from heights
| Autor: | Seppo Koskinen, Mika P. Koivikko, E. M. Salonen |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Facial trauma medicine.medical_specialty Adolescent Poison control Facial Bones Maxillary Fractures 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Image Processing Computer-Assisted medicine Humans Nasal Bone Radiology Nuclear Medicine and imaging Facial Injuries Aged Zygomatic Fractures Skull Base Skull Fractures Radiological and Ultrasound Technology business.industry 030206 dentistry General Medicine Middle Aged Nasal bone medicine.disease Skull Falling (accident) Frontal bone medicine.anatomical_structure Accidental Frontal Bone Accidental Falls Female Zygomatic arch Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Acta Radiologica. 48:449-455 |
| ISSN: | 1600-0455 0284-1851 |
| DOI: | 10.1080/02841850701199959 |
| Popis: | Purpose: To assess multidetector computed tomography (MDCT) findings in facial trauma in adults who accidentally fall from heights. Material and Methods: Of the MDCT scans of 2413 cases requested by emergency-room physicians for suspected facial injury, 155 (age 15.3–76.7, mean 42.0 years; 134 male, 21 female) met the criteria of falling from heights. These were reviewed by two researchers by consensus. Results: Of these 155, 118 (104 male, 14 female) had 247 fractures, while 37 had no fracture. The fractures were classified into 13 categories, the zygomatic complex being the region most frequently involved. Mean falling height, known in 132 of 155 cases, was 5.7 m (range 0.4–25) in all, 6.0 m (0.4–25) in those suffering a fracture, and 5.0 m (range 0.4–13) in those without a fracture. Patients with Le Fort II, Le Fort III, or frontal bone fractures had fallen higher and frequently had associated skull base fractures, but with considerable overlap in falling heights. Zygomatic arch and nasal bone fractures rarely occurred solitarily. Conclusion: In a fall-from-height injury, nasal bone and zygomatic arch fractures indicate the presence of more severe fractures. Height cannot solely predict injury probability. Clear sinus sign is a valuable aid in assessing midface trauma in falls from heights. |
| Databáze: | OpenAIRE |
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