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DiagnosticRadiologyOfMaxillofacialPartofInjury精品课件1DiagnosticRadiologyOfMaxilMostcommonresponsibleFallAutomobileaccidentBlowsfromforeignbodiesstrkingOthers精品课件2MostcommonresponsibleFall精品课头部、颌面部受伤的处理危险的颅内出血。意识消失或神智模糊，呼吸困难，呕吐，抽搐，手脚麻痹，口或鼻腔流血或透明的液体，剧烈头痛持续不止等等。原则：先处理颅脑症状，稳定全身生命体征，后治疗颌面部损伤。精品课件3头部、颌面部受伤的处理危险的颅内出血。精品课件3Appliedradiology

Theprescriptionofappropriatefilmcanbemadeonlyafteracarefulclinicalexamination精品课件4Appliedradiology精品课件4

Radiologyaidsinidentifyingthelocationandorientationoffracturesandindicatesthedegreeofseparationordisplacementoffracturemargins.

Radiographsareveryusefulafteraninjury精品课件5RadiologyaidsinidentifyiTesttechnics

Water’sposition（华氏位、鼻颏位）

Panoramic曲面断层片（全景）

Cephalometric(X线头影测量片)orlateralfilm(侧位片）

Occlusalfilm咬合片

Submentovertex（颅底位、颏顶位、颧弓位）

Zygomaticbone-PA（颧骨后前位、顶颏位）

Post–anteriorposition（下颌骨后前位）

Obliguelateralprojection（下颌骨斜侧位）

Schullar’sposition（薛氏位、颞下颌关节片）

CTandMRI精品课件6TesttechnicsWater’spositiDiagnosticprinciple1.positionandnumber2.types3.displacement4.relationbetweenthefracturelineandteeth5.differentiatefromnutritioncanalandnormalsutures6.concrescence

offractures精品课件7Diagnosticprinciple1.positiopositionandnumber

offractures精品课件8positionandnumber

offractuTypes精品课件9Types精品课件9Displacement精品课件10Displacement精品课件10relationbetweenthefracturelineandteeth

精品课件11relationbetweenthefractdifferentiatefromnutritioncanalandnormalsutures精品课件12differentiatefromnutritioncAlveolarfracture精品课件13Alveolarfracture精品课件13Alveolarfracturecompanywithtoothinlay精品课件14AlveolarfracturecompanywithMaxillaryfractureFractureTypesofmaxillarboneLefortⅠLefortⅡLefortⅢ精品课件15MaxillaryfractureFractureTypLefortⅠ(horizontalfracture)精品课件16LefortⅠ(horizontalfracture)LefortⅡ精品课件17LefortⅡ精品课件17LefortⅢ

精品课件18LefortⅢ

精品课件18LefortⅢfracture精品课件19LefortⅢfracture精品课件19WaterspositionRight---lefortⅡleft---lefortⅡandⅢ精品课件20WaterspositionRight---lefortWatersposition（眶-上颌-颧骨OMZ、复合骨折）精品课件21Watersposition（眶-上颌-颧骨OMZ、复合FracturesofZygomaticboneandarch精品课件22FracturesofZygomaticboneanAfteroperation精品课件23Afteroperation精品课件23ComminuteFractureofzygomaticarch精品课件24ComminuteFractureofzygomati“M”typeofsubmentovertex精品课件25“M”typeofsubmentovertex精品课件Fractureofnosebone精品课件26Fractureofnosebone精品课件26Payattentiontothemaxillarybonefracture!!!1、双侧眼眶及上颌窦大小不一，窦腔积液昏暗2、骨折线多样，骨折块移位，左右眶下缘不在、同一水平3、牙弓不对称4、颌间间隙形态不对称5、张口受限是否由于喙突受压？6、骨折是否波及颅及颅底？精品课件27PayattentiontothemaxillaryFractureofmandibleThemostommonfracturesites

mentalbodyanglecondyleandit`sneck精品课件28FractureofmandibleThemostoClassificationofthecondylefracture

PleaselookatbookP158—P161精品课件29ClassificationofthecondylePanoramicview精品课件30Panoramicview精品课件30PanoramicviewY字型精品课件31PanoramicviewY字型精品课件31Panoramicview精品课件32Panoramicview精品课件32Panoramicview精品课件33Panoramicview精品课件33Panoramicview精品课件34Panoramicview精品课件34Panoramicview精品课件35Panoramicview精品课件35Post–anteriorposition(PA)精品课件36Post–anteriorposition(PA)精品课件Post–anteriorposition精品课件37Post–anteriorposition精品课件37CTview3Ddimensionreconstruction精品课件38CTview3DdimensionreconstrucTomographicviewandCT-3D精品课件39TomographicviewandCT-3D精品课件PathologicfractureOrientedfromtumors,Osteomyelitis,toothextraction,operationetc.精品课件40PathologicfractureOrientedfr陈旧性骨折X-rayappearancetime精品课件41陈旧性骨折X-rayappearance精品课件41异物定位横向位片轴向位片定位针精品课件42异物定位横向位片精品课件42Questions？骨折后1-2月照片发现原来的骨折线更加变宽，为什么？上颌骨骨折引起张口受限在X线片上主要可观察到什么征象？成人和儿童髁突骨折有哪些不同？髁突骨折有哪些种类？全景片上的髁突骨折和后前位有哪些不同？什么情况下容易引起误诊？精品课件43Questions？骨折后1-2月照片发现原来的骨折线更加TheendThankyou!精品课件44TheendThankyou!精品课件44DiagnosticRadiologyOfMaxillofacialPartofInjury精品课件45DiagnosticRadiologyOfMaxilMostcommonresponsibleFallAutomobileaccidentBlowsfromforeignbodiesstrkingOthers精品课件46MostcommonresponsibleFall精品课头部、颌面部受伤的处理危险的颅内出血。意识消失或神智模糊，呼吸困难，呕吐，抽搐，手脚麻痹，口或鼻腔流血或透明的液体，剧烈头痛持续不止等等。原则：先处理颅脑症状，稳定全身生命体征，后治疗颌面部损伤。精品课件47头部、颌面部受伤的处理危险的颅内出血。精品课件3Appliedradiology

Theprescriptionofappropriatefilmcanbemadeonlyafteracarefulclinicalexamination精品课件48Appliedradiology精品课件4

Radiologyaidsinidentifyingthelocationandorientationoffracturesandindicatesthedegreeofseparationordisplacementoffracturemargins.

Radiographsareveryusefulafteraninjury精品课件49RadiologyaidsinidentifyiTesttechnics

Water’sposition（华氏位、鼻颏位）

Panoramic曲面断层片（全景）

Cephalometric(X线头影测量片)orlateralfilm(侧位片）

Occlusalfilm咬合片

Submentovertex（颅底位、颏顶位、颧弓位）

Zygomaticbone-PA（颧骨后前位、顶颏位）

Post–anteriorposition（下颌骨后前位）

Obliguelateralprojection（下颌骨斜侧位）

Schullar’sposition（薛氏位、颞下颌关节片）

CTandMRI精品课件50TesttechnicsWater’spositiDiagnosticprinciple1.positionandnumber2.types3.displacement4.relationbetweenthefracturelineandteeth5.differentiatefromnutritioncanalandnormalsutures6.concrescence

offractures精品课件51Diagnosticprinciple1.positiopositionandnumber

offractures精品课件52positionandnumber

offractuTypes精品课件53Types精品课件9Displacement精品课件54Displacement精品课件10relationbetweenthefracturelineandteeth

精品课件55relationbetweenthefractdifferentiatefromnutritioncanalandnormalsutures精品课件56differentiatefromnutritioncAlveolarfracture精品课件57Alveolarfracture精品课件13Alveolarfracturecompanywithtoothinlay精品课件58AlveolarfracturecompanywithMaxillaryfractureFractureTypesofmaxillarboneLefortⅠLefortⅡLefortⅢ精品课件59MaxillaryfractureFractureTypLefortⅠ(horizontalfracture)精品课件60LefortⅠ(horizontalfracture)LefortⅡ精品课件61LefortⅡ精品课件17LefortⅢ

精品课件62LefortⅢ

精品课件18LefortⅢfracture精品课件63LefortⅢfracture精品课件19WaterspositionRight---lefortⅡleft---lefortⅡandⅢ精品课件64WaterspositionRight---lefortWatersposition（眶-上颌-颧骨OMZ、复合骨折）精品课件65Watersposition（眶-上颌-颧骨OMZ、复合FracturesofZygomaticboneandarch精品课件66FracturesofZygomaticboneanAfteroperation精品课件67Afteroperation精品课件23ComminuteFractureofzygomaticarch精品课件68ComminuteFractureofzygomati“M”typeofsubmentovertex精品课件69“M”typeofsubmentovertex精品课件Fractureofnosebone精品课件70Fractureofnosebone精品课件26Payattentiontothemaxillarybonefracture!!!1、双侧眼眶及上颌窦大小不一，窦腔积液昏暗2、骨折线多样，骨折块移位，左右眶下缘不在、同一水平3、牙弓不对称4、颌间间隙形态不对称5、张口受限是否由于喙突受压？6、骨折是否波及颅及颅底？精品课件71PayattentiontothemaxillaryFractureofmandibleThemostommonfracturesites

mentalbodyanglecondyleandit`sneck精品课件72FractureofmandibleThemostoClassificationofthecondylefracture

PleaselookatbookP158—P161精品课件73ClassificationofthecondylePanoramicview精品课件74Panoramicview精品课件30PanoramicviewY字型精品课件75PanoramicviewY字型精品课件31Panoramicview精品课件76Panoramicview精品课件32Panoramicview精品课件77Panoramicview