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Journal of the Korean Society of Traumatology 2002;15(1):28-32.
Efficacy of Computed To mography in Facial Trauma
Woo Jeong Kim, M.D., Jung Ho Shin, M.D., Sung Koo Jung, M.D., Joong Eui Rhee, M.D., Gil Joon Suh, M.D., Yeo Kyu Youn, M.D.*, Chang Hyun Lee, M.D.**, Hyoung Gon Song, M.D.***
Department of Emergency Medicine, Seoul National University College of Medicine, Department of Surgery, Seoul National University College of Medicine*
Department of Surgery, Cheju National University College of Medicine**
Department of Emergency Medicine, Sungkyunkwan University College of Medicine***
얼굴 외상에서 전산화 단층 촬영술의 유용성
김우정·신중호·정성구·이중의·서길준·윤여규*·이창현**·송형곤***
서울대학교 의과대학 응급의학과, 외과학교실*
제주대학교 의과대학 외과학교실**
성균관대학교 의과대학 응급의학과***
Abstract
Backgrounds : Facial trauma is presented as various situations. As a diagnostic modality, a conventional X-ray study has been to be inaccurate in finding the possible fracture of the facial bone. Thus, it is important to select more accurate radiologic modalities for early detection and management of fractures. The purpose of this study was to compare computed tomography with conventional X-ray studies and to determine the usefulness of computed tomography in patients with facial trauma. M e t h o d s : The medical records and radiologic findings of conventional X-ray studies and computed tomography in 45 patients with facial trauma, who visited our emergency room from July 1, 2001, to December 31, 2001, were reviwed retrospectively. The Sensitivity, specificity, positive and negative predictive values of conventional X-ray study were calculated based on formal readings of computed tomography. The differences between conventional X-ray studies and computed tomography were also calculated by using the Fisher’s exact test. Results : The male-to-female ratio and the mean age were 3.5 and 38.3 yrs, respectively. On comparison with computed tomography, the sensitivity and the specificity of conventional X-ray studies were 47.6% and 100%, respectively. The positive and negative predictive values were 100% and 68.6%, respectively. Conclusions : We suggest that computed tomography may be a more useful radiologic modality than conventional an X-ray study in finding possible fractures of facial bones.
Key Words: Computed tomography; Facial trauma


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