Clinical indication for intraoperative 3D imaging during open reduction of fractures of the mandibular angle
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Clinical indication for intraoperative 3D imaging during open reduction of fractures of the mandibular angle. / Klatt, Jan Christoph; Heiland, M; Marx, S; Hanken, H; Schmelzle, R; Pohlenz, P.
In: J CRANIO MAXILL SURG, Vol. 41, No. 5, 01.07.2013, p. e87-90.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Clinical indication for intraoperative 3D imaging during open reduction of fractures of the mandibular angle
AU - Klatt, Jan Christoph
AU - Heiland, M
AU - Marx, S
AU - Hanken, H
AU - Schmelzle, R
AU - Pohlenz, P
N1 - Copyright © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
PY - 2013/7/1
Y1 - 2013/7/1
N2 - PURPOSE: This retrospective study investigated 3-dimensional (3D) imaging with intraoperative Cone-Beam Computed Tomography (CBCT) in Mandibular Angle Fractures (MAF) treated by open reduction. The aim of this study was to demonstrate the image quality of intraoperative CBCT in this region and the benefit for the patients.METHODS: 83 patients with 86 MAF were included in this study. 8 patients were female and 75 male. Patient age ranged from 11 to 68 years (average age 26.8 years). All patients were examined with the mobile CBCT scanner ARCADIS Orbic 3D (Siemens Medical Solutions, Erlangen, Germany) directly after surgical treatment of the MAF.RESULTS: As a direct result of intraoperative CBCT four patients (5%) underwent intraoperative revision. The intraoperative acquisition of the data sets was uncomplicated and in all cases it was possible to effectively visualise and assess the MAF in 3D quality.CONCLUSION: The results showed that intraoperative CBCT is a reliable imaging technique for real-time intraoperative assessment of treated MAF. Use of the mobile 3D CBCT scanner is easy to integrate into routine practice and offers the advantage that immediate revision surgery can be performed.
AB - PURPOSE: This retrospective study investigated 3-dimensional (3D) imaging with intraoperative Cone-Beam Computed Tomography (CBCT) in Mandibular Angle Fractures (MAF) treated by open reduction. The aim of this study was to demonstrate the image quality of intraoperative CBCT in this region and the benefit for the patients.METHODS: 83 patients with 86 MAF were included in this study. 8 patients were female and 75 male. Patient age ranged from 11 to 68 years (average age 26.8 years). All patients were examined with the mobile CBCT scanner ARCADIS Orbic 3D (Siemens Medical Solutions, Erlangen, Germany) directly after surgical treatment of the MAF.RESULTS: As a direct result of intraoperative CBCT four patients (5%) underwent intraoperative revision. The intraoperative acquisition of the data sets was uncomplicated and in all cases it was possible to effectively visualise and assess the MAF in 3D quality.CONCLUSION: The results showed that intraoperative CBCT is a reliable imaging technique for real-time intraoperative assessment of treated MAF. Use of the mobile 3D CBCT scanner is easy to integrate into routine practice and offers the advantage that immediate revision surgery can be performed.
KW - Adolescent
KW - Adult
KW - Aged
KW - Bone Plates
KW - Child
KW - Cone-Beam Computed Tomography
KW - Female
KW - Follow-Up Studies
KW - Fracture Fixation, Internal
KW - Humans
KW - Image Processing, Computer-Assisted
KW - Imaging, Three-Dimensional
KW - Intraoperative Care
KW - Male
KW - Mandibular Fractures
KW - Middle Aged
KW - Radiography, Interventional
KW - Reoperation
KW - Retrospective Studies
KW - X-Ray Intensifying Screens
KW - Young Adult
U2 - 10.1016/j.jcms.2012.11.024
DO - 10.1016/j.jcms.2012.11.024
M3 - SCORING: Journal article
C2 - 23333491
VL - 41
SP - e87-90
JO - J CRANIO MAXILL SURG
JF - J CRANIO MAXILL SURG
SN - 1010-5182
IS - 5
ER -
