Use of intraoperative computed tomography for revisional procedures in patients with complex maxillofacial trauma

Mansher Singh, Joseph A. Ricci, Edward J. Caterson

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background: In patients with panfacial fractures and distorted anatomic landmarks of zygomatic and orbital complex, there is a risk of zygomaticomaxillary complex (ZMC) malpositioning even with the best efforts for surgical repair. This results in increased number of additional procedures to achieve accurate positioning. Methods: We describe the usage of intraoperative C-arm cone-beam computed tomographic (CT) scan for ZMC malpositioning in a representative patient with panfacial fractures. Results: We have successfully used intraoperative CT scan for ZMC malpositioning in 3 patients. The representative patient had ZMC malposition after the initial attempt of surgical repair without any intraoperative imaging. On using intraoperative CT scan during the next attempt, we were able to reposition the ZMC accurately. Conclusions: Intraoperative CT scan might improve the accuracy of ZMC positioning and decrease the chances of potential additional surgeries. In patients with distorted anatomical landmarks and panfacial fractures, it can be especially helpful toward correcting ZMC malposition.

Original languageEnglish (US)
Article numbere463
JournalPlastic and Reconstructive Surgery - Global Open
Volume3
Issue number7
DOIs
StatePublished - 2015

ASJC Scopus subject areas

  • Surgery

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