Use of intraoperative computed tomography in complex craniofacial trauma: an example of on-table change in management
Clinton S Morrison1, Helena O Taylor2, Scott Collins3
1Department of Plastic Surgery, Rhode Island Hospital and Hasbro Children's Hospital, Providence, Rhode Island ; Departments of Surgery, the Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Abstract:
The primary goals in repairing complex craniofacial fractures are restoration of occlusion and mastication, and anatomic reconstruction of a symmetric facial skeleton. Failure to accomplish these goals may result in the need for secondary operations. Recognition of malreduction may not be appreciated until review of a postoperative computed tomographic (CT) scan. Intraoperative CT scanning enables immediate on-table assessment of reduction and fixation, allowing alteration of the surgical plan as needed. We report using intraoperative CT scanning while repairing a panfacial injury in which malreduction was appreciated intraoperatively and corrected. Intraoperative CT can be used to improve outcomes and quality of complex facial fracture repair.
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