Abstract
Background and Objective: Maxillofacial fractures are one of the most common basic problems of traumatic patients. There is an urgent need for radiography in order to recognize such fractures. Special radiographic techniques are administered after exact physical examinations. So the decision to choose an special technique depends on clinical findings. The aim of this research is to investigate the midface and mandibular fractures by radiography in patients.
Materials and Methods: This research is a qualitative study on the frequency of fractures among 236 patients reffered to Imam Hospital of Tabriz during 1384-1385. The investigated parameters for each patient include: age, sex, cause of fracture, the affected region, clinical symptoms and radiographical techniques. For statistical analysis, spss software, version 13, using descriptive methods was applied.
Results: According to this research, the most common involved cases and regions were men of 21-30 years old and zygoma and condyle, respectively. Most of the fractures occured in summer during to car accidents. The most common clinical symptoms in midface were ecchymosis around the eyes and edema. As well as pain and swelling in mandible. The most required radiographies were panoramic and waters. CT-scan was ordered in %75.9 of patients with fractures in midface.
Conclusion: Results obtained from this study, point out that maxillofacial fractures have high frequency. There are special clinical symptoms that are common in midface or mandible fractures and can be helpful in detecting the suitable radiography for each affected region. This study also showed the true emphasize on using CT-scan for recognition of midface fractures. Some more analytical studies with high range and sample number are suggested in long time periods in order to study the relationship between ordered radiographical techniques and each region of fracture as well as the relationship between clinical symptoms with each fractured area separately.