The Role of Multi Detector Computerized Tomography in Evaluation of Maxillofacial Fractures.
DOI:
https://doi.org/10.37376/benunivmedj.v2i2.7502Keywords:
Fracture, Midface, Benghazi, ImageAbstract
Abstract
Objective: The current study’s goals are to assess the effectiveness of Multi Detector Computerized Tomography (MDCT) in treating patients who have experienced maxillofacial trauma, describe demographic variations, describe the frequency and types of fractures that were subjected to CT scans in the Benghazi region of Libya, and compare the results with those of comparable studies carried out elsewhere in the world.
Materials and Methods: We collected information from the radiology department of the al-Jala teaching hospital in Benghazi to conduct a descriptive, cross-sectional hospital-based study Between 2010 and 2013, 417 patients’ medical records who underwent head and face CT scans after suffering maxillofacial trauma were examined for the study (4 years).
Results: The peak frequency, which occurred in the age group of 21 to 30, covered a range of ages from 2 to 85 years. The median age, measured by mean and standard deviation, was 29.9 +/- 12.2 years. There were six men for every woman. Road traffic accidents (RTAs) were the leading cause of fractures (75%), followed by assault (7.67%), and we found no association between gender and the cause of fracture (p = 0.537). While the orbital walls (61%) were the most frequently broken bone in simple maxillofacial fractures, the zygomaticomaxillary complex (ZMC), which makes up 22.2% of the midface, was the most vulnerable area in complex facial fractures. There was no connection between gender and the location of the fracture.
Conclusion: Maxillofacial trauma can occasionally occur with serious cosmetic and functional repercussions. MDCT is required for the identification and classification of maxillofacial fractures and provides an accurate diagnosis for the design of treatment plans. Early surgical intervention is crucial for the successful management of these fractures.
References
Bither S, Mahindra U, Halli R, Kini Y, Kharkar V, Rudagi BM. Incidence and pattern of mandibular fractures in rural population: a review of 324 patients at a tertiary hospital in Loni, Maharashtra, India. Dent Traumatol. 2008 Oct;24(5):468-70.
Olusanya AA, Adeleye AO, Aladelusi TO. Updates on the epidemiology and pattern of traumatic maxillofacial injuries in a Nigerian University Teaching Hospital: A 12-month prospective cohort in-hospital outcome study. Craniomaxillofac Trauma Reconstr. 2015 Mar;8(1):50-8.
Tugaineyo E, Odhiambo WA, Akama MK, Macigo FG, Chindia ML. Aetiology, pattern and management of oral and maxillofacial injuries at Mulago national referral hospital. East Afr Med J. 2012 Oct;89(10):351-8.
Adi M, Ogden GR, Chisholm DM. An analysis of mandibular fractures in Dundee, Scotland (1977 to 1985). Br J Oral Maxillofac Surg. 1990 Jun;28(3):194-9.
Thapliyal G, Rajan H. Management of midfacial fractures: An overview. J Postgrad Med Educ. 2014;48(2):68-74.
Salzmann JA. Fractures of the middle third of the facial skeleton. Am J Orthod. 1978 Oct;74(4):469.
Subhashraj K, Nandakumar N, Ravindran C. Review of maxillofacial injuries in Chennai, India: a study of 2748 cases. Br J Oral Maxillofac Surg. 2007 Dec;45(8):637-9.
Bataineh AB. Etiology and incidence of maxillofacial fractures in the north of Jordan. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jul;86(1):31-5.
Al Ahmed HE, Jaber MA, Abu Fanas SH, Karas M. The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Aug;98(2):166-70.
Iida S, Kogo M, Sugiura T, Mima T, Matsuya T. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg. 2001 Aug;30(4):286-90.
Liu FC, Le TT, Oleck NC, Halsey JN, Hoppe IC, Lee ES, et al. Pediatric Pedestrian Facial Fracture Patterns and Management Following Motor Vehicle Collisions. J Craniofac Surg. 2020 Jan-Feb;31(1):265-8.
Le TT, Oleck NC, Liu FC, Halsey JN, Hoppe IC, Lee ES, et al. Motor Vehicle Collision Injuries: An Analysis of Facial Fractures in the Urban Pediatric Population. J Craniofac Surg. 2020 Oct;31(7):1910-3.
Deepak Y, Amit J, Sadhan M, Shashank T, Ravish M. Role of Computed Tomography in The Evaluation of Patients with Maxillofacial Trauma. Mod App Dent Oral Health. 2019;4(1):1-5.
Hogg NJ, Stewart TC, Armstrong JE, Girotti MJ. Epidemiology of maxillofacial injuries at trauma hospitals in Ontario, Canada, between 1992 and 1997. J Trauma. 2000 Sep;49(3):425-32.
Bataineh AB. Etiology and incidence of maxillofacial fractures in the north of Jordan. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jul;86(1):31-5.
Schuknecht B, Graetz K. Radiologic assessment of maxillofacial, mandibular, and skull base trauma. Eur Radiol. 2005 Mar;15(3):560-8.
dos Santos DT, Costa e Silva AP, Vannier MW, Cavalcanti MG. Validity of multislice computerized tomography for diagnosis of maxillofacial fractures using an independent workstation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Dec;98(6):715-20.
Boffano P, Roccia F, Zavattero E, Dediol E, Uglešić V, Kovačič Ž, et al. European Maxillofacial Trauma (EURMAT) project: A multicentre and prospective study. J Craniomaxillofac Surg. 2015 Jan;43(1):62-70
Zaleckas, L., Pečiuliene, V., Gendviliene, I., Puriene, A. & Rimkuviene, J. 2015. Prevalenceand etiology of midfacial fractures: A study of 799 cases. Medicina (Lithuania). 51(4):222–227. DOI: 10.1016/j.medici.2015.06.005.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Benghazi University Medical Journal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright©2024University of Benghazi.
This open Access article is Distributed under a CC BY-NC-ND 4.0 license





Copyright