Year: 2020 | Month: Jan-Jun | Volume 7 | Issue 1
Review of Oral and Maxillofacial Surgeons’ Imaging Use for Facial Trauma
Introduction: Diagnostic imaging plays a crucial role in assessing maxillofacial bone fractures, both preoperatively and postoperatively. Multi-slice computed tomography (MSCT) is the current gold standard imaging modality in maxillofacial trauma; some of its benefits include fast scanning time, large field of view, and superior hard and soft-tissue details. There are limited data in current Australian literature regarding standardized imaging protocols for maxillofacial injuries. This paper aims to evaluate the current Australian oral and maxillofacial (OMF) surgeons’ preferred facial trauma imaging modalities, both pre and postoperatively and to review the current literature on diagnostic imaging use in maxillofacial trauma. Methods: A survey was created for 200 members of The Australian and New Zealand Association of OMF Surgeons. The questionnaire was primarily focused on the surgeon’s preferred pre-operative and post-operative imaging modalities in four clinical scenarios: “Mandibular fractures not involving condyles,” “mandibular fractures involving condyles,” “maxilla only fractures,” and “other midfacial bone fractures.” Results: MSCT was the surgeons’ most preferred pre-operative and post-operative imaging modality in all scenarios except in the “mandibular fractures not involving condyles” scenario, where two-dimensional imaging was the most preferred. Cone-beam computed tomography (CBCT) was the least preferred imaging
modality overall. Conclusion: MSCT should remain as the gold standard imaging modality in pre-operative maxillofacial trauma imaging, particularly in mid-face trauma.
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Cone-beam computed tomography