Multidetector CT of midfacial fractures: Classification systems, principles of reduction, and common complications

David Dreizin, Arthur J. Nam, Silviu C. Diaconu, Mark P. Bernstein, Uttam K. Bodanapally, Felipe Munera

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The advent of titanium hardware, which provides firm three-dimensional positional control, and the exquisite bone detail afforded by multidetector computed tomography (CT) have spurred the evolution of subunit-specific midfacial fracture management principles. The structural, diagnostic, and therapeutic complexity of the individual midfacial subunits, including the nose, the naso-orbito-ethmoidal region, the internal orbits, the zygomaticomaxillary complex, and the maxillary occlusion-bearing segment, are not adequately reflected in the Le Fort classification system, which provides only a general framework and has become less relevant in contemporary practice. The purpose of this article is to facilitate the involvement of radiologists in the delivery of individualized multi- disciplinary care to adults who have sustained blunt trauma and have midfacial fractures by providing a clinically relevant review of the role of multidetector CT in the management of each midfacial subunit. Surgically relevant anatomic structures, search patterns, critical CT findings and their management implications, contemporary classification systems, and common posttraumatic and post- operative complications are emphasized.

Original languageEnglish (US)
Pages (from-to)248-274
Number of pages27
JournalRadiographics
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Multidetector Computed Tomography
Orbit
Titanium
Nose
Tomography
Bone and Bones
Wounds and Injuries
Therapeutics
Radiologists

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Multidetector CT of midfacial fractures : Classification systems, principles of reduction, and common complications. / Dreizin, David; Nam, Arthur J.; Diaconu, Silviu C.; Bernstein, Mark P.; Bodanapally, Uttam K.; Munera, Felipe.

In: Radiographics, Vol. 38, No. 1, 01.01.2018, p. 248-274.

Research output: Contribution to journalArticle

Dreizin, David ; Nam, Arthur J. ; Diaconu, Silviu C. ; Bernstein, Mark P. ; Bodanapally, Uttam K. ; Munera, Felipe. / Multidetector CT of midfacial fractures : Classification systems, principles of reduction, and common complications. In: Radiographics. 2018 ; Vol. 38, No. 1. pp. 248-274.
@article{0d1de59544ef436294320f18441f6a6c,
title = "Multidetector CT of midfacial fractures: Classification systems, principles of reduction, and common complications",
abstract = "The advent of titanium hardware, which provides firm three-dimensional positional control, and the exquisite bone detail afforded by multidetector computed tomography (CT) have spurred the evolution of subunit-specific midfacial fracture management principles. The structural, diagnostic, and therapeutic complexity of the individual midfacial subunits, including the nose, the naso-orbito-ethmoidal region, the internal orbits, the zygomaticomaxillary complex, and the maxillary occlusion-bearing segment, are not adequately reflected in the Le Fort classification system, which provides only a general framework and has become less relevant in contemporary practice. The purpose of this article is to facilitate the involvement of radiologists in the delivery of individualized multi- disciplinary care to adults who have sustained blunt trauma and have midfacial fractures by providing a clinically relevant review of the role of multidetector CT in the management of each midfacial subunit. Surgically relevant anatomic structures, search patterns, critical CT findings and their management implications, contemporary classification systems, and common posttraumatic and post- operative complications are emphasized.",
author = "David Dreizin and Nam, {Arthur J.} and Diaconu, {Silviu C.} and Bernstein, {Mark P.} and Bodanapally, {Uttam K.} and Felipe Munera",
year = "2018",
month = "1",
day = "1",
doi = "10.1148/rg.2018170074",
language = "English (US)",
volume = "38",
pages = "248--274",
journal = "Radiographics",
issn = "0271-5333",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - Multidetector CT of midfacial fractures

T2 - Classification systems, principles of reduction, and common complications

AU - Dreizin, David

AU - Nam, Arthur J.

AU - Diaconu, Silviu C.

AU - Bernstein, Mark P.

AU - Bodanapally, Uttam K.

AU - Munera, Felipe

PY - 2018/1/1

Y1 - 2018/1/1

N2 - The advent of titanium hardware, which provides firm three-dimensional positional control, and the exquisite bone detail afforded by multidetector computed tomography (CT) have spurred the evolution of subunit-specific midfacial fracture management principles. The structural, diagnostic, and therapeutic complexity of the individual midfacial subunits, including the nose, the naso-orbito-ethmoidal region, the internal orbits, the zygomaticomaxillary complex, and the maxillary occlusion-bearing segment, are not adequately reflected in the Le Fort classification system, which provides only a general framework and has become less relevant in contemporary practice. The purpose of this article is to facilitate the involvement of radiologists in the delivery of individualized multi- disciplinary care to adults who have sustained blunt trauma and have midfacial fractures by providing a clinically relevant review of the role of multidetector CT in the management of each midfacial subunit. Surgically relevant anatomic structures, search patterns, critical CT findings and their management implications, contemporary classification systems, and common posttraumatic and post- operative complications are emphasized.

AB - The advent of titanium hardware, which provides firm three-dimensional positional control, and the exquisite bone detail afforded by multidetector computed tomography (CT) have spurred the evolution of subunit-specific midfacial fracture management principles. The structural, diagnostic, and therapeutic complexity of the individual midfacial subunits, including the nose, the naso-orbito-ethmoidal region, the internal orbits, the zygomaticomaxillary complex, and the maxillary occlusion-bearing segment, are not adequately reflected in the Le Fort classification system, which provides only a general framework and has become less relevant in contemporary practice. The purpose of this article is to facilitate the involvement of radiologists in the delivery of individualized multi- disciplinary care to adults who have sustained blunt trauma and have midfacial fractures by providing a clinically relevant review of the role of multidetector CT in the management of each midfacial subunit. Surgically relevant anatomic structures, search patterns, critical CT findings and their management implications, contemporary classification systems, and common posttraumatic and post- operative complications are emphasized.

UR - http://www.scopus.com/inward/record.url?scp=85040529078&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040529078&partnerID=8YFLogxK

U2 - 10.1148/rg.2018170074

DO - 10.1148/rg.2018170074

M3 - Article

C2 - 29320322

AN - SCOPUS:85040529078

VL - 38

SP - 248

EP - 274

JO - Radiographics

JF - Radiographics

SN - 0271-5333

IS - 1

ER -