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Diagnostics
Volume 14
Issue 4
10.3390/diagnostics14040362
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Article

“Air Sign” in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation

by
Michał Gontarz
*,
Jakub Bargiel
,
Krzysztof Gąsiorowski
,
Tomasz Marecik
,
Paweł Szczurowski
,
Jan Zapała
and
Grażyna Wyszyńska-Pawelec
Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(4), 362; https://doi.org/10.3390/diagnostics14040362
Submission received: 8 January 2024 / Revised: 29 January 2024 / Accepted: 5 February 2024 / Published: 7 February 2024
(This article belongs to the Special Issue Oral and Maxillofacial Image Diagnosis 2.0)
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Abstract

Background: Diagnostic errors constitute one of the reasons for the improper and often delayed treatment of mandibular fractures. The aim of this study was to present a series of cases involving undiagnosed concomitant secondary fractures in the mandibular body during preoperative diagnostics. Additionally, this study aimed to describe the “air sign” as an indirect indicator of a mandibular body fracture. Methods: A retrospective analysis of CT/CBCT scans conducted before surgery was performed on patients misdiagnosed with a mandibular body fracture within a one-year period. Results: Among the 75 patients who underwent surgical treatment for mandibular fractures, mandibular body fractures were missed in 3 cases (4%) before surgery. The analysis of CT/CBCT before surgery revealed the presence of an air collection, termed the “air sign”, in the soft tissue adjacent to each misdiagnosed fracture of the mandibular body. Conclusions: The “air sign” in a CT/CBCT scan may serve as an additional indirect indication of a fracture in the mandibular body. Its presence should prompt the surgeon to conduct a more thorough clinical examination of the patient under general anesthesia after completing the ORIF procedure in order to rule-out additional fractures.
Keywords: mandibular fractures; diagnostic errors; cone-beam computed tomography; computed tomography; missed diagnosis mandibular fractures; diagnostic errors; cone-beam computed tomography; computed tomography; missed diagnosis

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MDPI and ACS Style

Gontarz, M.; Bargiel, J.; Gąsiorowski, K.; Marecik, T.; Szczurowski, P.; Zapała, J.; Wyszyńska-Pawelec, G. “Air Sign” in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation. Diagnostics 2024, 14, 362. https://doi.org/10.3390/diagnostics14040362

AMA Style

Gontarz M, Bargiel J, Gąsiorowski K, Marecik T, Szczurowski P, Zapała J, Wyszyńska-Pawelec G. “Air Sign” in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation. Diagnostics. 2024; 14(4):362. https://doi.org/10.3390/diagnostics14040362

Chicago/Turabian Style

Gontarz, Michał, Jakub Bargiel, Krzysztof Gąsiorowski, Tomasz Marecik, Paweł Szczurowski, Jan Zapała, and Grażyna Wyszyńska-Pawelec. 2024. "“Air Sign” in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation" Diagnostics 14, no. 4: 362. https://doi.org/10.3390/diagnostics14040362

APA Style

Gontarz, M., Bargiel, J., Gąsiorowski, K., Marecik, T., Szczurowski, P., Zapała, J., & Wyszyńska-Pawelec, G. (2024). “Air Sign” in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation. Diagnostics, 14(4), 362. https://doi.org/10.3390/diagnostics14040362

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