Format

Send to

Choose Destination
Oral Maxillofac Surg. 2019 May 16. doi: 10.1007/s10006-019-00765-2. [Epub ahead of print]

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

Author information

1
Department of Oral and Maxillofacial Surgery, Nantes University Hospital, 1 place Alexis-Ricordeau, 44093, NANTES Cedex 1, France.
2
Department of Oral and Maxillofacial Surgery, Yonseil University College of Dentistry, Seoul, South Korea.
3
Department of Oral and Maxillofacial Surgery, Nantes University Hospital, 1 place Alexis-Ricordeau, 44093, NANTES Cedex 1, France. helios.bertin@chu-nantes.fr.

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.

KEYWORDS:

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

PMID:
31093794
DOI:
10.1007/s10006-019-00765-2

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center