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Intraoperative Computed Tomography for Repair of Facial Fractures

E. Bradley Strong, MD
Arch Facial Plast Surg. 2012;14(3):159-161. doi:10.1001/archfacial.2011.1397.
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Use of intraoperative computed tomography during repair of orbitozygomatic fractures.
Stanley RB Jr.
Arch Facial Plast Surg. 1999;1(1):19-24.

Objective: To assess the practicality and potential benefits of intraoperative computed tomography using a mobile scanner in the operating room during repair of orbitozygomatic fractures.

Setting: Level I trauma center.

Design: Twenty-five patients undergoing open reduction of a unilateral displaced fracture of the zygoma and/or repair of a blow-out fracture of the orbit with cranial bone grafts were placed into a radiolucent head holder and interfaced with the mobile scanner. Spatial vectors were drawn on scans displayed on a computer monitor to allow intraoperative side-to-side comparison of the position of the malar prominences and orbital walls. Corrections of fracture reduction or bone graft position were made as indicated by the comparisons.

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Figure 1. Intraoperative use of a fan-beam computed tomographic scanner. Maintenance of a sterile field is accomplished by covering the patient with a sterile sheet or a clear microscope cover. A clear cover facilitates rapid patient positioning.

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Figure 2. Cone-beam C-arm computed tomographic scanner positioned over the head of a bed.




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