Multidetector Row Computed Tomography with Multiplanar and 3D Images in the Evaluation of Posttreatment Mandibular Fractures

Multidetector row computed tomography with multiplanar (MPR) and 3-dimensional (3D) computed tomographic reconstructions is the method of choice in condylar fractures and in the presence of complications for all types of mandibular fracture. MPR and 3D images are the best diagnostic tools to evaluate mandibular fractures after surgical treatment, both after surgery and during follow-up. The conventional radiography is imprecise in the condylar region due to the complicated anatomical bone structures in the area, the lack of sharpness, and image distortion. Computed tomographic imaging enables the assessment of joint morphology and condyle position in the mandibular fossa 3-dimensionally in the absence of superimposed interfering structures. Moreover, it could evaluate functional of temporomandibular joint thought dynamic acquisition to close and open mouth. Semin Ultrasound CT MRI 30:181-187 (C) 2009 Elsevier Inc. All rights reserved.