口腔頜面影像診斷學(xué)外傷課件

DiagnosticRadiologyOfMaxillofacialPartofInjury1精品課件MostcommonresponsibleFallAutomobileaccidentBlowsfromforeignbodiesstrkingOthers2精品課件頭部、頜面部受傷的處理危險(xiǎn)的顱內(nèi)出血。意識(shí)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。3精品課件Appliedradiology

Theprescriptionofappropriatefilmcanbemadeonlyafteracarefulclinicalexamination4精品課件

Radiologyaidsinidentifyingthelocationandorientationoffracturesandindicatesthedegreeofseparationordisplacementoffracturemargins.

Radiographsareveryusefulafteraninjury5精品課件Testtechnics

Water’sposition（華氏位、鼻頦位）

Panoramic曲面斷層片（全景）

Cephalometric(X線頭影測(cè)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）

CTandMRI6精品課件Diagnosticprinciple1.positionandnumber2.types3.displacement4.relationbetweenthefracturelineandteeth5.differentiatefromnutritioncanalandnormalsutures6.concrescence

offractures7精品課件positionandnumber

offractures8精品課件Types9精品課件Displacement10精品課件relationbetweenthefracturelineandteeth

11精品課件differentiatefromnutritioncanalandnormalsutures12精品課件Alveolarfracture13精品課件Alveolarfracturecompanywithtoothinlay14精品課件MaxillaryfractureFractureTypesofmaxillarboneLefortⅠLefortⅡLefortⅢ15精品課件LefortⅠ(horizontalfracture)16精品課件LefortⅡ17精品課件LefortⅢ

18精品課件LefortⅢfracture19精品課件WaterspositionRight---lefortⅡleft---lefortⅡandⅢ20精品課件Watersposition（眶-上頜-顴骨OMZ、復(fù)合骨折）21精品課件FracturesofZygomaticboneandarch22精品課件Afteroperation23精品課件ComminuteFractureofzygomaticarch24精品課件“M”typeofsubmentovertex25精品課件Fractureofnosebone26精品課件Payattentiontothemaxillarybonefracture!!!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(duì)稱4、頜間間隙形態(tài)不對(duì)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？27精品課件FractureofmandibleThemostommonfracturesites

mentalbodyanglecondyleandit`sneck28精品課件Classificationofthecondylefracture

PleaselookatbookP158—P16129精品課件Panoramicview30精品課件PanoramicviewY字型31精品課件Panoramicview32精品課件Panoramicview33精品課件Panoramicview34精品課件Panoramicview35精品課件Post–anteriorposition(PA)36精品課件Post–anteriorposition37精品課件CTview3Ddimensionreconstruction38精品課件TomographicviewandCT-3D39精品課件PathologicfractureOrientedfromtumors,Osteomyelitis,toothextraction,operationetc.40精品課件陳舊性骨折X-rayappearancetime41精品課件異物定位橫向位片軸向位片定位針42精品課件Questions？骨折后1-2月照