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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 4/2019

01-12-2019 | Computed Tomography | Case Report

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

Authors: Quentin Goguet, Sang Hwy Lee, Julie Longis, Pierre Corre, Hélios Bertin

Published in: Oral and Maxillofacial Surgery | Issue 4/2019

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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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Metadata
Title
Intraoperative imaging and navigation with mobile cone-beam CT in maxillofacial surgery
Authors
Quentin Goguet
Sang Hwy Lee
Julie Longis
Pierre Corre
Hélios Bertin
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 4/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00765-2

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