Multidetector computed tomography for facial trauma: Structured reports and key observations for a systematic approach

Facial fractures, often related to traffic accidents, assault, work-related accidents, or falls, account for a considerable number of emergencies in our hospitals and are associated with high morbidity and mortality. Multidetector computed tomography (MDCT) is the imaging technique of choice in this...

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Bibliographic Details
Published in:Radiología (English ed.) 2019-11, Vol.61 (6), p.439-452
Main Authors: Boscà-Ramon, A., Dualde-Beltrán, D., Marqués-Mateo, M., Nersesyan, N.
Format: Article
Language:English
Subjects:
Emergency
Facial fractures
Fracturas faciales
Informe estructurado
Multidetector computed tomography
Structured report
Tomografía computarizada multidetector
Trauma
Traumatismos
Urgencias
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Summary:Facial fractures, often related to traffic accidents, assault, work-related accidents, or falls, account for a considerable number of emergencies in our hospitals and are associated with high morbidity and mortality. Multidetector computed tomography (MDCT) is the imaging technique of choice in this scenario because it is widely available, fast, and useful for characterising facial fractures and associated complications, including those located in the head. For all these reasons, MDCT is fundamental in the clinical management of these patients and in planning surgery. This paper describes the radiological anatomy of the facial region, underlining the importance of the facial buttresses, and it indicates the key points necessary for carrying out a structured approach and elaborating the corresponding radiologic report. Las fracturas faciales, relacionadas frecuentemente con accidentes de tráfico, agresiones, accidentes laborales o caídas, constituyen un considerable número de urgencias en nuestros hospitales y asocian, además, una elevada morbimortalidad. La tomografía computarizada multidetector es la técnica de imagen de elección por su amplia disponibilidad y rapidez, y porque permite tanto la caracterización de las fracturas faciales como de las complicaciones asociadas, incluyendo las de localización craneal. Es, por tanto, fundamental para orientar el manejo clínico y la planificación quirúrgica. En este trabajo se describe la anatomía radiológica de la región facial, destacando la importancia de los contrafuertes o arbotantes faciales, se ilustran los hallazgos característicos en las fracturas faciales, y se indican los puntos clave necesarios para su abordaje estructurado al realizar el correspondiente informe radiológico.
ISSN:2173-5107
2173-5107
DOI:10.1016/j.rxeng.2019.06.008