After a careful clinical assessment of the facial area, radiographs should be taken to. provide additional information about facial injurles.? In cases of severe facial trauma, cervical spine injuries should be ruled out with a
complete cervical spine series (i.e., cross-table,’ odontoid, and obliques views) befote any manipulation of the neck. The facial radiographic examination’ should depend to. some degree an the clinical examinatian
and the suspected injury. Haphazard or excessive radiographic examination is generally not warranted. In the patient with facial trauma, the purpose of radiographs should be to. confirm the suspected clinical diagnosis,
obtain information that may not be clear from the clinical examination, and more accurately determine the extent of the injury. Radiographic examination should also document fractures from different angles or
Evaluation of midface fractures is generally supplemented with radiographic views, including Wato/s’ view, lateral skull vie,”, posteroanterior skull view, and submental vertex vlew-tl-Ig. 24-9). However, because of the difficulty of interpreting plain radiographs of the midface, more sophisticated techniques are generally «sed.
This often includes CT scans done in several pla”C’~ of space (i.e., axial and coronal) or infrequently threedimensional (3-D) reconstruction (Fig. 24-101.