Major mandibular surgical procedures as an indication for intraoperative imaging

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Philipp PohlenzMax Heiland

Abstract

This study investigated 3-dimensional (3D) imaging with intraoperative cone beam computed tomography (CBCT) in major mandibular reconstruction procedures. The study group was comprised of 125 patients (83 males, 42 females) admitted for surgical treatment of the mandible. The patients ranged in age from 3 months to 91 years (average age, 40.72 +/- 22.843 years). Surgical procedures of the mandible were subdivided into repair of body fractures (17 patients), angle fractures (21 patients), condylar fractures (14 patients), and multiple fractures (30 patient). In addition, the study group included 21 patients undergoing orthognatic surgery and 22 undergoing reconstructive surgery on the mandible. Intraoperatively, 3D images were generated with a mobile CBCT scanner (Arcadis Orbic 3D; Siemens Medical Solutions, Erlangen, Germany). During open reduction of mandibular fractures, not all fracture sites can be readily exposed for direct visual control. For example, the lingual cortical bone of the mandible is difficult to assess intraoperatively. This structure and others can be effectively visualized using the 3D mode of CBCT. Furthermore, screw placement can be evaluated, specifically in insertions near the alveolar nerve. The intrao...Continue Reading

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Citations

Jan 22, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Jan-Christoph KlattP Pohlenz
May 23, 2009·AJNR. American Journal of Neuroradiology·A C Miracle, S K Mukherji
Aug 3, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·J KlattP Pohlenz
Dec 5, 2009·Dental Clinics of North America·Leena Palomo, J Martin Palomo
Jun 19, 2013·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Gabriele KaepplerGerson Mast
May 11, 2016·Craniomaxillofacial Trauma & Reconstruction·Jonathan RibeiroManuella Zanela
Jul 9, 2010·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·H LiuK Althoefer
May 22, 2019·The Laryngoscope·Wael HasanJonathan C Irish
Jul 2, 2020·International Journal of Oral and Maxillofacial Surgery·S L AssoulineA Louvrier

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