Maxillary Fractures in Children Workup

Updated: Apr 06, 2020
  • Author: Abbas A Younes, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Imaging Studies

See the list below:

  • CT scanning in the axial and/or coronal plane has largely replaced plain radiography as the diagnostic study of choice. [10] The paranasal sinuses are often undeveloped or poorly pneumatized in the pediatric skeleton, the maxilla and mandible are full of tooth buds that often obscure ideal visualization, and patient positioning for different views requires more cooperation than often is practical. All of these factors and the widespread availability of CT scanning have made this the study of choice.

    • Coronal images can be obtained directly, or they may be reconstructed from axial images. Three-dimensional reconstructions also are widely available.

    • For suspected mandibular injuries, the Panorex is the preferred study, which should include separate temporomandibular joint (TMJ) views because plain Panorex views poorly image TMJs due to distortion artifact.