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

Abstract

Introduction

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.

Aim

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

Results

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.

Conclusion

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.

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Correspondence to Hélios Bertin.

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The authors declare that they have no conflict of interest.

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

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

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Goguet, Q., Lee, S.H., Longis, J. et al. Intraoperative imaging and navigation with mobile cone-beam CT in maxillofacial surgery. Oral Maxillofac Surg 23, 487–491 (2019). https://doi.org/10.1007/s10006-019-00765-2

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Keywords

  • Intraoperative
  • Cone-beam computed tomography
  • Neuronavigation
  • Maxillofacial surgery