Emergency Medicine Thu 05 August 2021 Evaluation of diagnostic characteristics of point-of care ultrasound in identification of maxillofacial fractures as compared to the ct scan
Researcher : Afroz fatima
Research Guide : Dr tej prakash sinha
Institution Name : All india institute of medical sciences
Co-Researchers

Abstract

Background: Injuries account for about 12% of the world’s burden of disease. Maxillofacial fractures constitute a substantial proportion of all trauma related injuries. There are mainly three different imaging modalities for detection of maxillofacial injuries namely X-ray, USG and CT. Conventional X-ray face has poor sensitivity in this regard owing to the overlapping nature of bones and inability to visualize soft tissue swelling and displacement. NCCT face is currently the gold standard for midfacial fracture diagnosis, application of CT however has its own limitations. Point of care ultrasound has become important modality for initial screening of Maxillofacial fractures which has a potential to bridge the gap between the insensitive X-ray face and the gold standard CT face. Our main aim was to evaluate the diagnostic characteristics of point of care ultrasound in determining maxillofacial fractures as compared to CT scan in patients of more than 18 years of age. Materials and Methods: Prospective Observational study conducted at JPNATC Department of Emergency Medicine AIIMS, New Delhi from January 2019-February 2021. Data was collected for demographics and parameters related to facial fractures using POCUS. Conclusion: The results of our study showed that POCUS can be used as an initial screening tool in identifying maxillofacial fractures during the secondary assessment of trauma patients. as its relatively inexpensive, quick and ionizing radiation free it can potentially serve as a valuable adjunct in diagnosing maxillofacial fractures.

DOI: 1628174614   Year of publication: 2021

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