Usefulness of Multidetector Row CT (MDCT) Examination for Craniofacial Traumas: Two Case Reports

DOI 11 References
  • Kato Seiya
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Kanda Masaru
    Department of Surgical Neurology, Jichi Medical University
  • Hasegawa Nobuyuki
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Asato Mitsunobu
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Ano Masaki
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Yamashita Keisuke
    Department of Emergency and Critical Care Medicine, Jichi Medical University
  • Suzukawa Masayuki
    Department of Emergency and Critical Care Medicine, Jichi Medical University

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  • 多列検出器ＣＴが有用だった頭部顔面外傷の２例

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Successful surgical treatment of patients with complex craniofacial injuries is dependent on the primary trauma management and diagnostic imaging examination. Following the primary survey based on JATEC guideline, we made use of the MDCT examination for assessing crashed facial bones and soft tissues in two craniofacial trauma patients. Neurosurgical, ophthalmological and reconstructive plastic surgical operative indicators were identified by reconstructed MDCT images in both a 25 year-old male traffic accident victim and a 65 year-old man who suffered from a work-related accident, respectively. As a preoperative adjunct study, MDCT was also able to help with recognizing cervical spine clearance. Recent advances in skull base approaches and imaging techniques have allowed for successful surgical correction of these craniofacial injuries.

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