Limitations of B-scan ultrasound for diagnosing fractures of the mandibular condyle and ramus.

被引:15
作者
Friedrich R.E. [1 ]
Plambeck K. [1 ]
Bartel-Friedrich S. [2 ]
Giese M. [1 ]
Schmelzle R. [1 ]
机构
[1] Nordwestdeutsche Kieferklinik, Universitäts-Krankenhaus Eppendorf, 20246 Hamburg
[2] Department of Otorhinolaryngology, Martin-Luther University Halle-Wittenberg, 06097 Halle a. d. S.
关键词
Keywords Ultrasonography; Fracture diagnosis; Mandible condyle;
D O I
10.1007/PL00010679
中图分类号
学科分类号
摘要
The aim of this study was to analyse the applications and limitations of B-scan ultrasonography for diagnosing fractures of the mandibular condyle and ramus. Thirty-two patients with 39 radiologically proven fractures of the mandibular condyle and ramus were included in the study. The patients were examined with a 7.5 MHz small-part applicator. Five patients without fractures of the facial skeleton acted as controls. Normal sonoanatomical findings had been obtained for patients without mandibular fractures. B-scan ultrasonography enabled the experienced examiner to identify dislocated fractures of the mandibular ramus and the articular process in 67% of the fractures. The main disadvantage of ultrasonography was the inability of this technique to identify non-dislocated fractures. Because of its low sensitivity and specificity, B-scan ultrasonography does not provide an alternative to X-ray diagnosis of mandibular condyle and ramus fractures.
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页码:11 / 16
页数:5
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