Facial Fracture (cont.)
Facial Fracture Diagnosis
- Even if a person has an injury to the nose, it is rare that
X-rays will be needed to guide the treatment. A nasal fracture is usually diagnosed by physical exam. The initial care for a nasal injury does not change even if
the patient has a fracture.
- If a fracture of the bones high up inside the nose (ethmoid bones) is suspected, the doctor may order a CT scan.
Jaw (mandibular) fracture: If the patient has a possible jaw fracture, the doctor may order an
X-ray. Sometimes a special dental X-ray machine may be used to help in the diagnosis. Not all hospitals have this equipment.
Midface (maxillary) fracture
- Because they are most often caused in car accidents, fractures of the midface are often associated with other significant, potentially life-threatening injuries. So diagnosing a facial fracture is often not the most important part of
the patient's early treatment.
- After the patient is stabilized, a CT scan of the face is the most useful to check for a midface fracture.
Cheekbone (zygomatic) fracture
- If the patient is evaluated immediately, the doctor can usually diagnose these by physical exam. This becomes more difficult with time because of swelling.
- Special X-ray views of the zygomatic bone are often helpful. If
the patient has a severe fracture involving other bones of the face, the doctor may also order a CT scan to get more information.
Eye socket (orbital) fracture
- X-rays may be helpful in the initial diagnosis.
- If a fracture of the eye socket is shown on your X-ray, the patient will probably have a CT scan to get more information.
Temporomandibular joint dislocation
- If the dislocation is the result of trauma, an X-ray will be done to rule out a fracture of the jaw.
- The patient will not need an X-ray if you have a spontaneous or recurrent dislocation.
Must Read Articles Related to Facial Fracture
CT was discovered independently by a British engineer named Sir Godfrey Hounsfield and Dr. Alan Cormack. It has become a mainstay for diagnosing med...learn more >>
Magnetic Resonance Imaging (MRI)
Magnetic resonance imaging (MRI) is a scanner that takes cross-sectional images of the body. It is used to evaluate tissues of the head, neck, chest, limbs, abd...learn more >>
Diagnostic x-rays are safe. But who hasn't wondered about them when undergoing a chest x-ray, mammogram, routine dental x-rays, or an x-ray for a broken bone?
...learn more >>