The Role of Computed Tomography in the Management of Patients with Maxillofacial Trauma

Authors : Şükrü Kasap, Muhammed Said Aydin, Mustafa Nişancı, Onur Özvurmaz, Gökay Özler

Pages : 275-279

Doi:10.47572/muskutd.1778649

View : 49 | Download : 106

Publication Date : 2025-12-29

Article Type : Research Paper

Abstract :Maxillofacial trauma represents a significant proportion of body injuries and often presents with complex fractures that require prompt and accurate diagnosis for effective management. Computed tomography (CT) provides detailed imaging and is increasingly used to guide clinical decision making. This study aimed to evaluate the role of CT imaging in the diagnosis and management of patients with maxillofacial trauma and to assess its correlation with initial physical examination findings. We conducted a retrospective analysis of patients aged 18 years and older who presented to the Emergency Department of Muğla Training and Research Hospital with maxillofacial trauma between January 2015 and June 2021 and received a Plastic, Reconstructive, and Aesthetic Surgery consultation. Demographic data, clinical examination findings, and CT scan reports were recorded. The relationship between initial physical examination and CT findings was evaluated. Cases with previous maxillofacial trauma, incomplete imaging, or treatment performed externally were excluded. CT evaluation of 401 patients demonstrated that 321 (80.0%) had at least one fracture, whereas 77 patients (19.2%) showed no fractures. Maxillary fractures were the most common, occurring in 169 patients (42.3%), followed by zygomatic fractures in 152 patients (37.9%), orbital fractures in 109 patients (27.2%), frontal bone fractures in 46 patients (11.5%), and mandibular fractures in 31 patients (7.7%). Surgical intervention was indicated in 222 patients (55.4%), of whom 156 (38.9%) underwent surgery, while 245 (61.1%) did not. Conclusion: CT is the gold standard for maxillofacial trauma evaluation, yet not all patients require imaging or surgical intervention. Careful clinical assessment ensures appropriate CT use, reduces unnecessary imaging, and optimizes patient management.
Keywords : BT, Tanı, Maksillofasial Travma

ORIGINAL ARTICLE URL