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. 2014 Dec;7(Suppl 1):S114-22.
doi: 10.1055/s-0034-1389564.

The Comprehensive AOCMF Classification System: Classification and Documentation within AOCOIAC Software

Laurent Audigé  1 , Carl-Peter Cornelius  2 , Christoph Kunz  3 , Carlos H Buitrago-Téllez  4 , Joachim Prein  3
Affiliations

The Comprehensive AOCMF Classification System: Classification and Documentation within AOCOIAC Software

Laurent Audigé et al. Craniomaxillofac Trauma Reconstr. 2014 Dec.

Abstract

The AOCMF Classification Group developed a hierarchical three-level craniomaxillofacial (CMF) fracture classification system. The fundamental level 1 distinguishes four major anatomical units including the mandible (code 91), midface (code 92), skull base (code 93) and cranial vault (code 94); level 2 relates to the location of the fractures within defined topographical regions within each units; level 3 relates to fracture morphology in these regions regarding fragmentation, displacement, and bone defects, as well as the involvement of specific anatomical structures. The resulting CMF classification system has been implemented into AO comprehensive injury automatic classifier (AOCOIAC) software allowing for fracture classification as well as clinical documentation of individual cases including a selected sample of diagnostic images. This tutorial highlights the main features of the software. In addition, a series of illustrative case examples is made available electronically for viewing and editing.

Keywords: classification system; coding; craniomaxillofacial fractures; electronic documentation system.

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Figures

Figure 1
Figure 1
AOCOIAC entry screen. AOCOIAC, AO comprehensive injury automatic classifier software.
Figure 2
Figure 2
CMF classification module window in AOCOIAC. AOCOIAC, AO comprehensive injury automatic classifier software; CMF, craniomaxillofacial.
Figure 3
Figure 3
Classification by fracture drawing or mouse click. (A) A fractured region (level 2) is set in blue. (B) At the level 3 classification, lack of fragmentation, minor fragmentation (or simply "fragmentation" in the cranium) and major fragmentation (in the mandible) are show in yellow, (C) orange, and (D) red, respectively. (D) Partial edentulism and mild mandibular atrophy is illustrated.
Figure 4
Figure 4
Common midface fracture patterns available for classification.
Figure 5
Figure 5
Fracture classification coding and link to surgery reference. (A) After completion of the classification, the fracture code is presented within the bottom-right screen window. (B) Direct access to the AOCMF Surgery Reference portal is provided by selecting the icon on the right of the fracture code.
Figure 6
Figure 6
AOCOIAC software screen shots. AOCOIAC, AO comprehensive injury automatic classifier software. (A) Patient tab. (B) Searching tab. (C) History tab. (D) Fracture tab.
Figure 7
Figure 7
Mandibular fracture documentation. (A) After registering patient and trauma event using the patient tab, fracture classification is implemented via the fracture tab. (B) Case images and clinical history are documented using the history tab.
Figure 8
Figure 8
Midface/zygomatic fracture documentation. (A) After registering patient and trauma event using the patient tab, fracture classification is implemented via the fracture tab. (B) Case images and clinical history are documented using the history tab (B).
See this image and copyright information in PMC

References

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    1. Kunz C, Audigé L, Cornelius C P. et al.The comprehensive AOCMF classification system: orbital fractures - level 3 tutorial. Craniomaxillofac Trauma Reconstr. 2014;7 01:S92–S102. - PMC - PubMed

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