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dc.contributor.authorde Carvalho, MF
dc.contributor.authorVieira, JNM
dc.contributor.authorFigueiredo, R
dc.contributor.authorReher, P
dc.contributor.authorChrcanovic, BR
dc.contributor.authordas Graças Afonso Miranda Chaves, M
dc.date.accessioned2020-10-13T00:39:04Z
dc.date.available2020-10-13T00:39:04Z
dc.date.issued2020
dc.identifier.issn0901-5027
dc.identifier.doi10.1016/j.ijom.2020.09.002
dc.identifier.urihttp://hdl.handle.net/10072/398248
dc.description.abstractThe aim of this study was to evaluate the sensitivity, accuracy, and reliability of two-dimensional computed tomography (2D-CT) scans (axial, coronal, sagittal planes) and three-dimensional computed tomography (3D-CT) reconstructions in diagnosing midfacial fractures in relation to actual fractures identified clinically and during surgery (gold standard). The imaging diagnosis was performed by a radiologist and an oral and maxillofacial surgeon. Sixty-two patients with a total of 429 midfacial fractures were included. Frontal sinus and nose fractures were easily diagnosed. For the three CT planes, there was a statistically significant difference between the CT examination and the gold standard for five to seven of the nine bones evaluated, while for 3D-CT, a difference was observed only for fractures of the orbital floor. The inter-observer agreement between the oral and maxillofacial surgeon and the radiologist was 75.5%. In conclusion, in this study 3D-CT reconstructions showed significantly the best sensitivity, accuracy, and reliability for the diagnosis of midfacial fractures. The sagittal reconstructions were the least diagnostic of the 2D-CT images. For areas where the parameters studied showed less agreement and hence a more difficult diagnosis, we recommend a combination of 3D and 2D-CT images to improve diagnostic accuracy.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofjournalInternational Journal of Oral and Maxillofacial Surgery
dc.subject.fieldofresearchDentistry
dc.subject.fieldofresearchcode1105
dc.subject.keywordsComputed tomography
dc.subject.keywordsDiagnosis
dc.subject.keywordsFacial trauma
dc.subject.keywordsMidfacial fractures
dc.titleValidity of computed tomography in diagnosing midfacial fractures
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationde Carvalho, MF; Vieira, JNM; Figueiredo, R; Reher, P; Chrcanovic, BR; das Graças Afonso Miranda Chaves, M, Validity of computed tomography in diagnosing midfacial fractures, International Journal of Oral and Maxillofacial Surgery, 2020
dcterms.dateAccepted2020-09-07
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-10-09T00:30:57Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.rights.copyright© 2020 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorReher, Peter


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