Imaging Evaluation of Mandibular Trauma

Facial traumas often occur as a result of accidents or injuries at workplace, aggression or accidental falling. Their assessment is made by means of Multislice Computed Tomography (CT) due to its high resolution, providing precise information on fracture routes, bone displacement, soft tissue injuries as well as the traumatic complications in the maxillofacial area.Material and Methods: We examined 214 patients aged between 7-79 with maxillofacial trauma and who underwent CT examination in CT Department of the County Hospital Oradea. Results. Out of the 214 patients surveyed, 92 (43%) showed single lesions, the remaining 122(57%) patients had multiple lesions on viscerocranium. A number of 47 (22%) patients had maxillofacial trauma within a multiple trauma. In single lesions (92 cases i.e. 43%), the distribution was as follows: mandibular lesions in 42 patients , nasal bones lesions in 22 patients, frontal/ maxillary sinuses lesions in 16 patients, and orbital lesions in 12 patients, respectively. We grouped the 42 patients with mandibular fractures by several criteria such as: histopathologic type, number of outbreaks, topography.Conclusions. Computer tomography is the reference technique in the detection and characterization of facial trauma. Fractures of mandibula were present in 46% of those patients undergoing a single trauma. It is necessary to perform multiplanar reconstructions especially coronary sections and 3D reconstructions in order to perform a correct classification.