Assessment of changing patterns of Le fort fracture lines using computed tomography scan: an observational study.

Abstract:

OBJECTIVES:To assess the changing mid-face fracture patterns using a computed tomography scan. METHODOLOGY:Fifty patients with mid-face trauma requiring open reduction and fixation were studied using 1.6 mm axial, sagittal, coronal and 3D images. Images were evaluated clinically, intra-operatively and finally were compared with standard Le Fort lines. Results. The male population dominated the female at a ratio of 11.5:1. The majority of the mid-face fractures were seen in the age group of 21-30 years. Road traffic accident (78%) was the major etiological factor followed by work-related accidents (12%) and assaults (10%). The CT scan analysis included categorizing the patients into three groups: (1) Fracture patterns resembling Le Fort lines (24%); (2) Fracture patterns partially resembling Le Fort lines (56%); and (3) Fracture patterns that do not resemble Le Fort lines (20%). CONCLUSION:With the change in the velocity of wounding object, there is a change in the mid-face fracture patterns. The majority of the cases present as a variant of classical Le Fort fractures. Computed tomography is a valuable diagnostic tool in assessing the fractures of the mid-face. 2D images are more sensitive than 3D images. However, both the images are required in delivery of an optimal treatment plan.

journal_name

Acta Odontol Scand

authors

Patil RS,Kale TP,Kotrashetti SM,Baliga SD,Prabhu N,Issrani R

doi

10.3109/00016357.2014.933252

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

984-8

issue

8

eissn

0001-6357

issn

1502-3850

journal_volume

72

pub_type

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