Use of Cone Beam Computed Tomography in the Assessment of Facial Trauma: Report of Two Cases
DOI:
https://doi.org/10.21270/archi.v13i5.6383Palavras-chave:
Cone-Beam Computed Tomography, Diagnosis, Maxillofacial InjuriesResumo
Imaging is an essential component in the treatment of facial trauma, as it provides support from diagnosis and treatment planning to the evaluation of results. Cone beam computed tomography (CBCT) enables a tridimensional assessment of anatomical structures. This study aims to evidence, through two case reports of the contribution of CBCT in the diagnosis of facial trauma. In both cases, patients were victims of facial trauma, one due to traffic accidents and the other by fall from height. No type of fracture was verified in emergency medical care. Professionals requested a CBCT exam to assist in the diagnosis of possible fractures. In CBCT images examination, it was possible to visualize foreign bodies in the maxillary region (Case 1), and the presence of mandible fracture (Case 2). The use of CBCT is crucial to obtain details on images that aid the diagnosis of fractures in cases of facial trauma. Even though it is not often used in emergency services, its use is well-indicated for more precise diagnosis.
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Referências
Moura MTFL, Daltro RM, Almeida TF. Traumas faciais: uma revisão sistemática da literatura. Rev Fac Odontol UPF. 2016;21(3):331-37.
Calheira MC, Carvalho FS, Carvalho CAP. Perfil epidemiológico do trauma facial em um hospital regional do interior da Bahia. Rev Ciênc Plural. 2021;7(2):88-106.
Einy S, Rahman NA, Siman-Tov M, Aizenbud D, Peleg K. Maxillofacial Trauma Following Road Accidents and Falls. J Craniofac Surg. 2016;27(4):857-61.
Alimohammadi R. Imaging of Dentoalveolar and Jaw Trauma. Radiol Clin North Am. 2018;56(1):105-24.
Gaêta-Araujo H, Alzoubi T, Vasconcelos KF, Orhan K, Pauwels R, Casselman JW, Jacobs R. Cone beam computed tomography in dentomaxillofacial radiology: a two-decade overview. Dentomaxillofac Radiol. 2020;49(8):20200145.
Salzedas LMP, Victorino IP, Pescinini-Salzedas LM, Coclete GEG, Silva WFT, Vieira JB, Coclete GA. Uso de tomografia computadorizada por feixe cônico no Serviço de Radiologia Odontológica da FOA-UNESP: recurso no diagnóstico de fraturas do complexo bucomaxilofacial. Arch Health Invest. 2015;4(2):17-24.
Weiss R, Read-Fuller A. Cone beam computed tomography in oral and maxillofacial surgery: An evidence-based review. Dent J. 2019;7(2):52.
Porto D, Cavalcanti YW, Forte FD. Maxillofacial trauma due to traffic accidents and falls: an exploratory study of associated factors. Med Oral Patol Oral Cir Bucal. 2021;26(3):349-56.
Neto ICP, Franco JMPL, Junior JLA, Santana MDR, Abreu LC, Bezerra ÍMP, et al. Factors Associated With the Complexity of Facial Trauma. J Craniofac Surg. 2018;29(6):562-66.
Ribeiro-Ribeiro AL, Gillet LCS, Vasconcelos HG, Rodrigues LC, Pinheiro JJV, Alves-Junior SM. Facial Fractures: Large Epidemiologic Survey in Northern Brazil Reveals Some Unique Characteristics. J Oral Maxillofac Surg. 2016;74(12):2480.e1-2480.e12.
