International Journal of Clinical Research

Objective To evaluate the diagnostic value of spiral CT and three-dimensional reconstruction in maxillofacial fractures. Methods A retrospective analysis was conducted on 86 patients with suspected maxillofacial fractures who sought treatment at our hospital between January 2024 and December 2025. All subjects underwent conventional spiral CT and three-dimensional reconstruction examinations. Clinical data were collected, with surgical findings serving as the reference standard. Diagnostic efficacy and detection rates for different fracture types were statistically evaluated for both conventional spiral CT and 3D reconstruction. Results 3D reconstruction demonstrated superior diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value compared to conventional spiral CT (P < 0.05). For Type I maxillofacial fractures, 3D reconstruction demonstrated higher detection rates than conventional spiral CT (P < 0.05). For Type II and III fractures, no significant difference was observed between 3D reconstruction and conventional spiral CT (P > 0.05). Conclusion Three-dimensional reconstruction based on spiral CT demonstrates good diagnostic value for maxillofacial fractures and can accurately identify different types of maxillofacial fractures.

Maxillofacial fracture; Spiral CT; 3D reconstruction technology; Diagnostic value