Traumatisme (stomatologie)

8/10/2019 Traumatisme (stomatologie)

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Radiology of maxilo-facial

trauma


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Fractures of facial cranial bonesare part of the most numerous of

skeletal diseases. Their number

in the other pathologies of facial

and skull in the total number of

traumas has tendency to

permanent increase. Increases

in so far complication technical

base of human activity,

urbanisation, increasingconsiderably the number of

vehicles.


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One of the main causes of

increasing traumatism is road

accident, which leads to themost serious injuries. The

mass base of the affected

population is a young age

and capable of working.

Errors in the treatment of

these patients develop

complications, and most

often is meeted posttraumatic

osteomyelitis, skeletaldeformation and vital organs

disfunction, often related to

diagnostical errors, especially

in radiological diagnosis.


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For description convenience is

useful to divide facial skull injuries in

fractures of the superior, middle and

inferior zones.Injuries of superior zone are

fractures of the walls of frontal sinus

supraorbital fractures.

In the middle zone there are

fractures of the facial skull, located

above oclusional plan of superior

jaw to the upper wall of orbits.

Fractures of the mandible are

located in the inferior zone.Fractures of the facial skull together

with fractures of the brain skull and

other bones are the group of

associated fractures.


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Affected bone structures in

maxilo-facial traumatism.

7

16

45

8

24

0

5

10

15

20

25

30

35

40

45

50

nazale zigomatic mandibula mand.+ zig asociate

Series1


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1. Semiaxial projection

2. Antero-posteriorprojection

3. Profile projection

4. Axial projection of the

maxilla5. Panoramic radiograph

6. CT - scan


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mandibular fractures

6025

15

angulare

condilare

ramuar


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Reflected

fractures


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Fracture in place of direct

action force.


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Articular condyle fracture


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Mandibular dynamic consolidation

allows to recommend the following for

making a radiogram control:

1.After imobiliztion.

2.After 7 days.

3.follows the intervention with 1.5

months.


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Isolated injury of maxilla


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Intermaxillarydisjunction


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Le Fort 2


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Le Fort3


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Zigomaticoorbital

Compound fracture


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Compound fracture of left the

zigomatico-orbit with orbital

compression in the left


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zigomatic bone fracture

in right side with intraorbit fragments

depression.

C d f t f i ti bit ith


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Compound fracture of zigomatic-orbit with

inferior wall fractue of eye, eye globe, maxilar

sinus compression.


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Superior zone fractures includes

supraorbital fracture and walls of frontalsinuses


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Nasal bone injury


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Trauma by firearm, combined with the total destruction

of the nasal pyramid, vaults Palatine, perpendicular

Lamella of ethmoid, vomer, sphenoid Sinus, maxillary

sinus, alveolar processes, mandible.

Traumatisme (stomatologie)

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