華西口腔口腔頜面影像診斷學(xué)外傷

DiagnosticRadiologyOfMaxillofacialPartofInjuryMostcommonresponsibleFallAutomobileaccidentBlowsfromforeignbodiesstrkingOthers頭部、頜面部受傷的處理危險的顱內(nèi)出血。意識消失或神智模糊，呼吸困難，嘔吐，抽搐，手腳麻痹，口或鼻腔流血或透明的液體，劇烈頭痛持續(xù)不止等等。原則：先處理顱腦癥狀，穩(wěn)定全身生命體征，后治療頜面部損傷。Appliedradiology

Theprescriptionofappropriatefilmcanbemadeonlyafteracarefulclinicalexamination

Radiologyaidsinidentifyingthelocationandorientationoffracturesandindicatesthedegreeofseparationordisplacementoffracturemargins.

RadiographsareveryusefulafteraninjuryTesttechnics

Water’sposition（華氏位、鼻頦位）

Panoramic曲面斷層片（全景）

Cephalometric(X線頭影測量片)orlateralfilm(側(cè)位片）

Occlusalfilm咬合片

Submentovertex（顱底位、頦頂位、顴弓位）

Zygomaticbone-PA（顴骨后前位、頂頦位）

Post–anteriorposition（下頜骨后前位）

Obliguelateralprojection（下頜骨斜側(cè)位）

Schullar’sposition（薛氏位、顳下頜關(guān)節(jié)片）

CTandMRIDiagnosticprinciple1.positionandnumber2.types3.displacement4.relationbetweenthefracturelineandteeth5.differentiatefromnutritioncanalandnormalsutures6.concrescence

offracturespositionandnumber

offracturesTypesDisplacementrelationbetweenthefracturelineandteeth

differentiatefromnutritioncanalandnormalsuturesAlveolarfractureAlveolarfracturecompanywithtoothinlayMaxillaryfractureFractureTypesofmaxillarboneLefortⅠLefortⅡLefortⅢLefortⅠ(horizontalfracture)LefortⅡLefortⅢ

LefortⅢfractureWaterspositionRight---lefortⅡleft---lefortⅡandⅢWatersposition（眶-上頜-顴骨OMZ、復(fù)合骨折）FracturesofZygomaticboneandarchAfteroperationComminuteFractureofzygomaticarch“M”typeofsubmentovertexFractureofnosebonePayattentiontothemaxillarybonefracture!!!1、雙側(cè)眼眶及上頜竇大小不一，竇腔積液昏暗2、骨折線多樣，骨折塊移位，左右眶下緣不在、同一水平3、牙弓不對稱4、頜間間隙形態(tài)不對稱5、張口受限是否由于喙突受壓？6、骨折是否波及顱及顱底？FractureofmandibleThemostommonfracturesites

mentalbodyanglecondyleandit`sneckClassificationofthecondylefracture

PleaselookatbookP158—P161PanoramicviewPanoramicviewY字型PanoramicviewPanoramicviewPanoramicviewPanoramicviewPost–anteriorposition(PA)Post–anteriorpositionCTview3DdimensionreconstructionTomographicviewandCT-3DPathologicfractureOrientedfromtumors,Osteomyelitis,toothextraction,operationetc.陳舊性骨折X-rayappearancetime異物定位橫向位片軸向位片定位針Questions？骨折后1-2月照片