Radiological observation of the facial bone fracture
10.3348/jkrs.1983.19.4.873
- Author:
Hyun LEE
;
Chul Soo KIM
;
Sang Kil LEE
;
Seung Ro LEE
;
Chang Kok HAHM
- Publication Type:Original Article
- MeSH:
Accidents, Traffic;
Age Distribution;
Congenital Abnormalities;
Diagnosis;
Ecchymosis;
Explosions;
Facial Bones;
Foreign Bodies;
Fractures, Bone;
Hemorrhage;
Humans;
Incidence;
Male;
Orbit;
Skull;
Subcutaneous Emphysema
- From:Journal of the Korean Radiological Society
1983;19(4):873-881
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tomography has played an important role in diagnosis of facial bone fracture. Nowadays, it still acts as ainevitable process in decision of adequate treatment in patient with facial bone fracture. At the Department ofRadiology, Hanyang University Hospital, 74 patients who have facial bone fracture, were observed and analyzed withsimple skull films, mainly skull A-P, lateral and Water's view, after comparison with tomographic findings. Theresults were as follows; 1. Male was in 90.5% incidence. Most frequent age distribution was 21 to 40 years andmarked 62.2%. 2. Most frequent cause of trauma was traffic accident as 41 cases and the next one was fall down as13 cases. Other cause were blunt trauma such as first, stone, heavy metal etc. and explosion. 3. Clinical symptomsand physical signs were painful swelling, abrasion, ecchymosis and subconjuctival hemorrhage in almost allpatient. 4. Fracture distribution was 22 cases in simple fracure and 52 cases in complex fractures which were 26cases in Tripod fractures, 14 cases in Le Fort fractures and 12 cases in combined complex fractures. 5. Theradiologic findings on tomography were opacity of orbit of P.N.S. 87.8%, regional soft tissue swelling 85.1%,displacement of bony fragment 56.8%, abnormal linear density in orbit or P.N.S. 48.6%, bony fragment in orbit orP.N.S. 47.3% change of size of orbit of P.N.S. 40.5%, foreign body in orbit or P.N.S. 16.2%, and others 27.0%.These radiologic findings of simple fracture were less than those of complex fracture. 6. Radiologic findings offacial bone fracture on simple films were analyzed after comparison with tomograhs. Detectable possibility ofobvious fracture lines such as cortical disruption or separation was 67.6% on simple filsm. Detectable possibilityof other radiologic findings on simple films were displacement of bony fragment 86.7%, abnormal linear density inorbit or P.N.S. 88.6%, bony fragment in orbit or P.N.S. 71.4%, opacity of orbit or P.N.S. 90.8%, change of size ororbit or P.N.S. 96.4%, regional soft tissue swelling 96.2%, foreign boy in orbit or P.N.S.41.7%. Others such asabsence or deformity of infraorbital foramen, subcutaneous emphysema or intraorbital air 40.0%. Thereforetomography is inevitably taken to correct diagnosis of facial bone fracture.
