A Method for Precise Reduction of Facial Bone Fractures Using Intraoperative Ultrasound With a Solid Gel Pad as a...

Area of Science:

• Medical Imaging
• Surgical Techniques
• Orthopedics

Background:

• Intraoperative ultrasound is valuable for fracture reduction but faces challenges with facial anatomy.
• The curvature of the face impedes direct ultrasound probe application for nasal bone and zygomatic arch fractures.

Purpose of the Study:

• To introduce and evaluate a method overcoming technical difficulties in intraoperative ultrasound for closed reduction of facial bone fractures.
• To assess the efficacy of a solid gel pad as a coupling medium for improved ultrasound scanning in these procedures.

Main Methods:

• A solid gel pad was utilized as a coupling medium during surgery to facilitate ultrasound probe application.
• Intraoperative ultrasound imaging was employed to visualize fracture sites and guide reduction.

Main Results:

• Preoperative computed tomography (CT) identified fracture sites were readily visualized with intraoperative ultrasound.
• Real-time manipulation confirmed successful reduction, with the gel pad proving light, malleable, and easy to use.
• Accurate imaging was achieved, enhancing the visualization of fracture patterns.

Conclusions:

• Intraoperative ultrasound, augmented by a solid gel pad, significantly enhances the accuracy of closed reduction for nasal bone and zygomatic arch fractures.
• This technique improves intraoperative assessment, confirming fracture patterns and ensuring precise surgical outcomes.