MULTISLICE COMPUTED TOMOGRAPHY IN PRE- AND POSTOPERATIVE ASSESSMENT OF OCULOMOTOR MUSCLES INJURY
Aim: was to increase efficacy of diagnostics of oculomotor muscles injury in pre- and postoperative period with use of multislice computed tomography (MSCT). Material and methods: for the petiod 2015-2016, 63 patients with maxillofacial trauma were admitted to the I.M.Sechenov hospital, within 24-48 hours after injury (55 males and 8 females, aged 18-59 years). All patients underwent MSCT of facial skeleton at the day of admittion and on 7-10 day after surgical treatment. Patients examination was made on 640-slice CT scanner and was added by multiplannar and 3D-reconstruction Results: preoperative MSCT revealed oculomotor muscles injury in 29 patients (46%). Muscles injuries were presented with herniation into the maxillary sinus (n=20, 32%), damaged lateral, inferior and medial muscles by small bone fragments (n=17, 27%), unilateral thickening of muscles in 13 patients (21%). Postoperative MSCT revealed oculomotor muscle damage caused by incorrectly implantation of prostheses of inferior orbital wall in 7 cases (11%). Conclusion: MSCT is the modality of choice in pre- and postoperative diagnostics in patients with oculomotor muscles injury. MSCT provides the effective diagnostic solution in prevention of possible ocular movement impairment.