All patients with midfacial injuries requiring radiographic investigation, and attending the relevant department, were made available for study inclusion. 3 treatment options were made available: no treatment, refer for further views, or refer for maxillofacial surgical opinion. Patients with severe midfacial and craniofacial trauma were excluded from the study. 621 patients were screened in total with full data available for 601 clients. These later clients had 613 radiographs taken in total. 130 patients were referred to the maxillofacial team for an opinion. No power calculations were reported in the determination of the study sample size.