Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system
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Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system. / Heiland, M; Schulze, D; Blake, F; Schmelzle, R.
In: INT J ORAL MAX SURG, Vol. 34, No. 4, 01.06.2005, p. 369-75.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system
AU - Heiland, M
AU - Schulze, D
AU - Blake, F
AU - Schmelzle, R
PY - 2005/6/1
Y1 - 2005/6/1
N2 - After preclinical studies and evaluation of radiation exposures, intraoperative three-dimensional (3D) C-arm based imaging is now available for the facial skeleton. Fourteen patients admitted for surgical treatment of zygomaticomaxillary complex (ZMC) fractures were included in the study. Preoperative diagnostics and surgical treatment were performed as usual. Intraoperatively, after open reduction, a cone-beam computed tomography (CBCT) dataset was generated using the SIREMOBIL Iso-C3D (Siemens Medical Solutions, Erlangen, Germany). After DICOM-import in eFilm Workstation axial, coronal and sagittal reconstructions were evaluated by five examiners with the help of six defined criteria. In our study, secondary reconstructions were available after 6 min, excluding the time needed for the evaluation of the images. Especially the positioning of the isocentre of the SIREMOBIL Iso-C3D proved to be uncomplicated. Because of the size of the datasets, assessment of the symmetry of the malar projection proved difficult. Best scoring results were found regarding the visualization of the fragment position, bony anchorage of the screws and the fitting of the plates. Remarkable was the low level of metal artefacts in primary and secondary reconstructions. In conclusion, our results demonstrate intraoperative CBCT using the SIREMOBIL Iso-C3D suitable for assessment of postoperative results following ZMC reduction.
AB - After preclinical studies and evaluation of radiation exposures, intraoperative three-dimensional (3D) C-arm based imaging is now available for the facial skeleton. Fourteen patients admitted for surgical treatment of zygomaticomaxillary complex (ZMC) fractures were included in the study. Preoperative diagnostics and surgical treatment were performed as usual. Intraoperatively, after open reduction, a cone-beam computed tomography (CBCT) dataset was generated using the SIREMOBIL Iso-C3D (Siemens Medical Solutions, Erlangen, Germany). After DICOM-import in eFilm Workstation axial, coronal and sagittal reconstructions were evaluated by five examiners with the help of six defined criteria. In our study, secondary reconstructions were available after 6 min, excluding the time needed for the evaluation of the images. Especially the positioning of the isocentre of the SIREMOBIL Iso-C3D proved to be uncomplicated. Because of the size of the datasets, assessment of the symmetry of the malar projection proved difficult. Best scoring results were found regarding the visualization of the fragment position, bony anchorage of the screws and the fitting of the plates. Remarkable was the low level of metal artefacts in primary and secondary reconstructions. In conclusion, our results demonstrate intraoperative CBCT using the SIREMOBIL Iso-C3D suitable for assessment of postoperative results following ZMC reduction.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Bone Plates
KW - Bone Screws
KW - Female
KW - Fracture Fixation, Internal
KW - Humans
KW - Imaging, Three-Dimensional
KW - Male
KW - Maxillary Fractures
KW - Middle Aged
KW - Monitoring, Intraoperative
KW - Oral Surgical Procedures
KW - Reconstructive Surgical Procedures
KW - Tomography, Spiral Computed
KW - Zygomatic Fractures
U2 - 10.1016/j.ijom.2004.09.010
DO - 10.1016/j.ijom.2004.09.010
M3 - SCORING: Journal article
C2 - 16053844
VL - 34
SP - 369
EP - 375
JO - INT J ORAL MAX SURG
JF - INT J ORAL MAX SURG
SN - 0901-5027
IS - 4
ER -