Does Intraoperative Computed Tomography Scanning in Maxillofacial Trauma Surgery Affect the Revision Rate?

Area of Science:

• Maxillofacial Surgery
• Medical Imaging
• Trauma Care

Background:

• Maxillofacial trauma requires precise surgical intervention.
• Intraoperative imaging can aid in complex fracture reduction.
• The impact of intraoperative computed tomography on revision rates is not fully established.

Purpose of the Study:

• To evaluate the effect of intraoperative computed tomography on revision rates in maxillofacial trauma.
• To determine if intraoperative computed tomography influences the need for post-operative corrective surgery.

Main Methods:

• Retrospective study of 22 patients with facial fractures.
• Analysis of intraoperative revision rates and scanning times.
• Variables included age, gender, fracture site, treatment, scans per patient, and discharge time.

Main Results:

• 50% of patients required intraoperative revisions after scans.
• Zygomaticomaxillary complex fractures had the highest revision rate (63.6%).
• No patients required secondary corrective surgery; all recovered uneventfully.

Conclusions:

• Intraoperative computed tomography leads to increased intraoperative revisions for better fracture alignment.
• This improved accuracy reduces the likelihood of needing subsequent corrective surgeries.
• Intraoperative CT is a valuable tool for optimizing outcomes in maxillofacial trauma.