Casale et al reported the bony facial trauma score for evaluating a patient with panfacial trauma. The authors are from the University of Virginia.
Bones on the right and left side of the face:
(1) para or symphysis pubis
(2) body of the mandible
(3) angle of the mandible
(4) ramus of the mandible
(5) condyle or coronoid of the mandible
(6) lateral buttress of the midface
(7) medial buttress of the midface
(8) zygomatic arch
(9) zygomaticosphenoid suture
(10) zygomaticofrontal suture
(11) inferior orbital rim
(12) orbital floor
(13) nasal-orbital-ethmoid complex
(14) pterygoids
Other bones:
(1) nasal bones
(2) septum
(3) palate
(4) anterior table of the frontal sinus
(5) posterior table of the frontal sinus
Fracture
|
Points
|
none
|
0
|
nondisplaced
|
1
|
displaced
|
2
|
comminuted
|
3
|
total score =
= SUM(points on right side , points on left side, and other points)
Interpretation:
• minimum score: 0
• maximum score: 99
• The higher the score the more severe the bone trauma.