Use of Intraoperative Computed Tomography During Repair of Orbitozygomatic Fractures

Stanley, Robert B.

doi:10.1001/archfaci.1.1.19

Cited by 108 publications

(48 citation statements)

References 4 publications

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“…Die genaue Reposition gelenkflä-chentragender Knochenfragmente kann damit nur durch direkte Visualisierung, wie intraoperative Arthroskopie oder durch intraoperative Schnittbildverfahren (intraoperatives CT), erreicht werden [8,11,12]. Die herkömmliche Methode mittels Bildwandlerkontrolle führt im Grenzfall zu keiner verlässlichen intra-E. Euler · S.Wirth · U. Linsenmaier W. Mutschler · K. J. Pfeifer · A. Hebecker Comparative analysis of the quality of mobile C-arm three-dimensional imaging of the talus Abstract Malposition of extraosseous or intra-articular screws, e.g., in osteosyntheses of joint fractures or in the vicinity of joints, frequently remains undiscovered in intraoperative fluoroscopy and is only recognized on postoperative computed tomography (CT) scans.…”

Section: Zusammenfassungunclassified

Vergleichende Untersuchung zur Qualität der C-Bogen-basierten 3D-Bildgebung am Talus

Euler¹,

Wirth

Linsenmaier

et al. 2001

Der Unfallchirurg

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Malposition of extraosseous or intra-articular screws, e.g., in osteosyntheses of joint fractures or in the vicinity of joints, frequently remains undiscovered in intraoperative fluoroscopy and is only recognized on postoperative computed tomography (CT) scans. The aim of the study, therefore, was to assess the value of a new mobile C-arm three-dimensional imaging device in comparison with fluoroscopy, conventional radiographs, and CT scans using an extremity model. Screws were inserted ventrally in four anatomic lower leg specimens without talus fractures parallel to the longitudinal axis to simulate surgical management of fractures of the talus. The specimens supplied were examined with fluorscopy, conventional radiography, spiral CT, and the new three-dimensional imaging with the SIREMOBIL Iso-C3D. These four modalities were evaluated by ten radiologists and ten trauma surgeons and were compared regarding subjective image quality and position of the screws. The quality of information acquired with the SIREMOBIL Iso-C3D was equal to that of the CT examinations, although image quality was considered inferior to fluoroscopy, conventional radiography, and CT (p < 0.001). In contrast to the previous procedure with intraoperative fluoroscopy and subsequent postoperative X-ray control, the results obtained with the SIREMOBIL IsoC3D were superior. The SIREMOBIL Iso-C3D is useful for the intraoperative diagnosis of small joints with few artifacts producing osteosynthesis material, i.e., for recognizing the position of screws in the region of glenoid surfaces.

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Section: Zusammenfassungunclassified

Vergleichende Untersuchung zur Qualität der C-Bogen-basierten 3D-Bildgebung am Talus

Euler¹,

Wirth

Linsenmaier

et al. 2001

Der Unfallchirurg

View full text Add to dashboard Cite

show abstract

“…As previously discussed, CAS has improved current surgical practices and patient outcomes in the treatment and prevention of such deformities [1][2][3][4][5][6][7][8][9][10][11][12][13]. The advantages and disadvantages of every reported technique implemented in the craniomaxillofacial area are already well documented in the literature and a detailed analysis is beyond the scope of this paper.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages and disadvantages of every reported technique implemented in the craniomaxillofacial area are already well documented in the literature and a detailed analysis is beyond the scope of this paper. Our focus is on a particular approach involving the use of ''mirroring'' assisted planning [4][5][6][7][8][9][10][11][12][13]. We recently demonstrated that the application of pre-operative ''mirroring'' computational planning coupled with a navigation system and an intra-operative mobile C-arm CBCT scan with a flat-panel detector was associated with encouraging results in the treatment of primary and secondary repairs of complex midfacial fractures [13].…”

Section: Discussionmentioning

confidence: 99%

“…Over the last two decades, the use of Computer Assisted Surgery (CAS) has spread rapidly, dramatically improving the accuracy and predictability of numerous surgical procedures [1][2][3][4][5][6][7][8][9][10][11][12][13]. In the field of craniomaxillofacial surgery, the first applications of CAS date back to the late 1990s [4][5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…In the field of craniomaxillofacial surgery, the first applications of CAS date back to the late 1990s [4][5][6][7][8][9][10][11][12][13]. These focused primarily on secondary reconstruction of post-traumatic deformities following inadequate treatment of midfacial fractures.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Image guided surgical navigation integrating “mirroring” computational planning based on intra-operative cone-beam CT imaging: A promising new approach for management of primary bilateral midfacial fractures

Terzic

Scolozzi

2011

Computer Aided Surgery

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Cosmetic and functional re-establishment following primary or secondary treatment of comminuted and complex midfacial fractures remains a challenge for surgeons. Computer Assisted Surgery (CAS) has revolutionized the conceptualization and approach to these reconstructions and has become a reliable part of the surgical armamentarium. Computer aided design/ modeling (CAD/CAM) software that allows ''mirroring'' planning coupled to navigation systems has dramatically improved surgical strategies in reconstructive surgery of the craniomaxillofacial skeleton, particularly with respect to the prediction of suitable symmetric bone repositioning. So far, however, use of this approach has been limited to unilateral cases, with a non-fractured contralateral side being considered the condition sine qua non for the application of such a technique and the ''mirroring'' planning being performed on pre-operative CT imaging.We report a case of complex primary reconstruction in a patient presenting with bilateral midfacial fractures, using complete intra-operative sequence processing with a navigation system integrating ''mirroring'' computational planning based on a mobile C-arm cone-beam computed tomography (CBCT) scan with a flat-panel detector. To the best of our knowledge, no similar cases have yet been reported involving the use of this sequencing method in the primary management of bilateral midfacial fracture reconstruction.

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Intraoperative Computed Tomography for Repair of Facial Fractures

Strong

2012

Archives of Facial Plastic Surgery

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Use of Intraoperative Computed Tomography During Repair of Orbitozygomatic Fractures

Cited by 108 publications

References 4 publications

Vergleichende Untersuchung zur Qualität der C-Bogen-basierten 3D-Bildgebung am Talus

Vergleichende Untersuchung zur Qualität der C-Bogen-basierten 3D-Bildgebung am Talus

Image guided surgical navigation integrating “mirroring” computational planning based on intra-operative cone-beam CT imaging: A promising new approach for management of primary bilateral midfacial fractures

Intraoperative Computed Tomography for Repair of Facial Fractures

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