Intraoperative imaging and navigation with mobile cone-beam CT in maxillofacial surgery
- 86 Downloads
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.
KeywordsIntraoperative Cone-beam computed tomography Neuronavigation Maxillofacial surgery
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
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 was obtained from patients (and legal guardian) included in this study.
- 8.Pohlenz P, Blake F, Blessmann M, Smeets R, Habermann C, Begemann P, Schmelzle R, Heiland M (2009) Intraoperative cone-beam computed tomography in oral and maxillofacial surgery using a C-arm prototype: first clinical experiences after treatment of zygomaticomaxillary complex fractures. J Oral Maxillofac Surg Off 67(3):515–521CrossRefGoogle Scholar