Quentin Goguet1, Sang Hwy Lee2, Julie Longis1, Pierre Corre1, Hélios Bertin3. 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.
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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