ArticleDiagnostics (Basel, Switzerland)2024
"Air Sign" in Misdiagnosed Mandibular Fractures Based on CT and CBCT Evaluation.
Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Evaluation of an AI-based segmentation model for mandibular fracture segmentation on CBCT using volumetric and 2D slice-based validation approaches.BMC oral health · 2026Article
- Injury Patterns in Soccer-Induced Maxillofacial Fractures and Ocular Trauma: A Narrative Review.Sports medicine - open · 2026Review
- Pediatric Maxillofacial Fractures: Patterns of Injury, Surgical Indications, and Treatment Outcomes: A Five-Year Retrospective Study.Journal of clinical medicine · 2025Article
- Diagnostic Utility of the "Air Sign" as a Radiological Indicator for Mandibular Body and Angle Fractures.Journal of clinical medicine · 2024Article
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7 authors.
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Abstract
backgroundDiagnostic 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.
methodsA retrospective analysis of CT/CBCT scans conducted before surgery was performed on patients misdiagnosed with a mandibular body fracture within a one-year period.
resultsAmong 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.
conclusionsThe "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.
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