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The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Medical Radiology and Radiation Safety. 2017. Vol. 62. No. 4. P. 24-30
DIAGNOSTIC RADIOLOGY
DOI: 10.12737/article_59b1077eca2810.73078621
Sonography in the Diagnosis of Fractures of the Maxillofacial Region
N.A. Akramova, Yu.M. Khodjibekova
Tashkent State Dental Institute, Tashkent, Uzbekistan, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
N.A. Akramova – Assistant of the Dep.; Yu.M. Khodjibekova – Associate Prof.
Abstract
Purpose: To evaluate the role and significance of ultrasonography in the general complex of methods of radiation diagnosis of bone fractures of the maxillofacial region.
Material and methods: Ultrasound examination was carried out on 104 patients at the age of 6–59 with trauma of the maxillofacial region. All patients were examined with sonography (SLE-501 device with linear frequency controller at 7.5 MHz, Lithuania), radiography and multislice computed tomography (Somation Emotion 6 device, Siemens, Germany).
Results: Fractures of the maxillofacial bones confirmed in 96 patients, including 36 isolated, 60 multiple and associated injuries of bones of the maxillofacial region. All injuries were identified by CT with 3D reconstruction, thus the method was adopted as verifying during analysis and comparison of results produced by other methods of visualization.
The ultrasonography findings revealed the following: interruption of the cortical layer with or without displacement of bone fragments, bone contour deformation. In 11 out of 13 cases of mandibular fractures with negative sonographic signs were detected by sonography with functional tests with the mouth opening. In comparison with X-ray, ultrasonography was more sensitive in detecting fractures (94.0 % to 81.5 %), especially in fractures of the front wall of the maxillary sinus, articular and coronoid process of the mandible.
Ultrasonographic examination was carried out with 57 patients after closed and open reposition. The unsatisfactory condition of bone fragments, which need re-repositioning, were detected in 25. In 11 patients sonography was used intraoperatively to control the repositioning of the bone fragments, thus making it possible to achieve satisfactory results after operations.
Conclusion: Ultrasonography has proved to be a valuable tool in detecting fractures in the facial bones in addition to X-ray examination. Particular value of sonography is a control for repositioning bone fragments.
Key words: trauma, maxillofacial region, sonography
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Для цитирования: Akramova NA, Khodjibekova YuM. Sonography in the Diagnosis of Fractures of the Maxillofacial Region. Medical Radiology and Radiation Safety. 2017;62(4):24-30. Russian. DOI: 10.12737/article_59b1077eca2810.73078621
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