Oral and Maxillofacial Surgery

, Volume 23, Issue 4, pp 487–491 | Cite as

Intraoperative imaging and navigation with mobile cone-beam CT in maxillofacial surgery

  • Quentin Goguet
  • Sang Hwy Lee
  • Julie Longis
  • Pierre Corre
  • Hélios BertinEmail author
Case Report



Intraoperative mobile Cone-Beam Computed Tomography (CBCT) trends to develop for the management of complex facial fractures. It allows a real-time imaging and surgical navigation.


Through the presentation of two clinical cases, we aimed at presenting the procedure of intra-operative CBCT and new applications in maxillofacial surgery.


A young patient with extended orbito-frontal fibrous dysplasia, and a child with the recurrence of a temporomandibular joint ankylosis secondary to mastoïditis, were operated using a intra-operative imaging control. In both cases, the intraoperative CBCT increased precision and safety of the bone resection. No surgical complication was noted and a good healing was obtained.


Intraoperative CBCT raises the problems of radiation exposure and increased operating time. However, it represents a useful imaging tool and a navigation system in complex situations as osseous dysplasia and surgery of the temporo-mandibular joint.


Intraoperative Cone-beam computed tomography Neuronavigation Maxillofacial surgery 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Due to the retrospective nature of this study, it was granted in writing an exemption of ethics committee by the Nantes University Hospital.

Informed consent

Informed consent was obtained from patients (and legal guardian) included in this study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Quentin Goguet
    • 1
  • Sang Hwy Lee
    • 2
  • Julie Longis
    • 1
  • Pierre Corre
    • 1
  • Hélios Bertin
    • 1
    Email author
  1. 1.Department of Oral and Maxillofacial SurgeryNantes University HospitalNANTES Cedex 1France
  2. 2.Department of Oral and Maxillofacial SurgeryYonseil University College of DentistrySeoulSouth Korea

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