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Panoramic Radiography in the Assessement of Maxillofacial Injuries

التصوير البانورامي في تحديد الإصابات الفكية الوجهية

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 Publication date 2003
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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Despite of the great evolution in the field of radiological technologies , panoramic radiography is still the most important radiological –diagnostic method in the maxillofacial area . Panoramic radiographs reveal a wide area of tissue in one x-ray. In addition . It seems to be preferred by the maxillofacial surgeon due to its simplicity and rapidity of application , and low dose of radiation. In oral and maxillofacial fractures , panoramic radiography is still the best way of having a quick and preliminary diagnosis of most of these fractures. In our study we made a precise diagnosis of about 88.79% of our cases by using this method . For that we recommend to use panoramic radiography in most cases of oral and maxillofacial injuries . In cases that clinical diagnosis does not match the panoramic radiography diagnosis we must look for another radiological method.


Artificial intelligence review:
Research summary
تعتبر الأشعة البانورامية من أهم وسائل التشخيص الشعاعي في مجال الإصابات الفكية الوجهية، على الرغم من التطور الكبير في تقنيات التصوير الشعاعي. تكشف الأشعة البانورامية عن مساحة واسعة من الأنسجة في صورة واحدة، وتعتبر مفضلة من قبل جراحي الفم والفكين نظراً لبساطتها وسرعة تطبيقها وجرعة الإشعاع المنخفضة. في حالات الكسور الفكية الوجهية، تظل الأشعة البانورامية الطريقة الأفضل للحصول على تشخيص سريع وأولي لمعظم هذه الكسور. في دراستنا، تمكنا من تشخيص دقيق لحوالي 88.79% من الحالات باستخدام هذه الطريقة. لذا نوصي باستخدام الأشعة البانورامية في معظم حالات إصابات الفم والفكين. في الحالات التي لا يتطابق فيها التشخيص السريري مع تشخيص الأشعة البانورامية، يجب البحث عن طريقة شعاعية أخرى.
Critical review
دراسة نقدية: على الرغم من الفوائد العديدة للأشعة البانورامية في تشخيص الإصابات الفكية الوجهية، إلا أن هناك بعض النقاط التي تحتاج إلى مزيد من البحث والتوضيح. على سبيل المثال، لم يتم التطرق بشكل كافٍ إلى الحالات التي قد لا تكون فيها الأشعة البانورامية كافية للتشخيص، وما هي البدائل المثلى في تلك الحالات. كما أن الدراسة لم تذكر بشكل واضح العينة المستخدمة وكيفية اختيارها، مما قد يؤثر على تعميم النتائج. بالإضافة إلى ذلك، كان من الممكن أن تكون الدراسة أكثر شمولية إذا تم تضمين مقارنة بين الأشعة البانورامية ووسائل التصوير الشعاعي الأخرى مثل التصوير المقطعي المحوسب (CT) أو التصوير بالرنين المغناطيسي (MRI).
Questions related to the research
  1. ما هي الفوائد الرئيسية للأشعة البانورامية في تشخيص الإصابات الفكية الوجهية؟

    الأشعة البانورامية تكشف عن مساحة واسعة من الأنسجة في صورة واحدة، وتعتبر مفضلة بسبب بساطتها وسرعة تطبيقها وجرعة الإشعاع المنخفضة.

  2. ما هي نسبة الحالات التي تم تشخيصها بدقة باستخدام الأشعة البانورامية في الدراسة؟

    تم تشخيص حوالي 88.79% من الحالات بدقة باستخدام الأشعة البانورامية.

  3. متى يجب البحث عن طريقة شعاعية أخرى غير الأشعة البانورامية؟

    يجب البحث عن طريقة شعاعية أخرى عندما لا يتطابق التشخيص السريري مع تشخيص الأشعة البانورامية.

  4. ما هي النقاط التي تحتاج إلى مزيد من البحث والتوضيح في الدراسة؟

    النقاط التي تحتاج إلى مزيد من البحث تشمل الحالات التي قد لا تكون فيها الأشعة البانورامية كافية للتشخيص، البدائل المثلى في تلك الحالات، وتفاصيل حول العينة المستخدمة وكيفية اختيارها.


References used
Beter booth, Stephen Schendel, Jary hausman, maxillofacial surgery, radiology for maxillofacial trauma , V.l ch .18 . 259 – 286
Brand T,Zawadzki M. computed tomography in maxillo facial trauma : laryngoscope 1981
Can gland . langlars . Moris : principles and practice of panoramic radiology .1982 P.1
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