title: [Spiral computerized tomography with tridimensional reconstruction (spiral 3D CT) in the study of maxillofacial pathology].
abstract: Three dimensional computer reconstruction of CT scans provide head and neck surgeons with an exciting interactive display of clinical anatomy. The 3D CT reconstruction of complex maxillo facial anatomic parts permits a more specific preoperative analysis and surgical planning. Its delineation of disease extension aids the surgeon in developing his own mental three-dimensional image of the regional morphology. Three-dimensional CT permits a clearer perception of the extent of fracture comminution and resulting displacement of fragments. In the case of maxillo-facial tumors, 3D images provide a very clear picture of the extent of erosion involving the adjacent critical organs. Three-dimensional imaging in first generation 3D scanners did have some limitations such as long reconstruction times and inadequate resolution. Subsequent generations, in particular the spiral 3D CT, have eliminated these drawbacks. Furthermore, costs are comparable with those of other computer reconstruction technology that might provide similar images. Representative cases demonstrating the use of 3D CT in maxillofacial surgery and its benefits in planning surgery are discussed.
authors.affiliation: Clinica Otorinolaringoiatrica, Università di Pavia, IRCCS, Policlinico San Matteo.
authors.forename: E
authors.initials: E
authors.lastname: Mevio
authors.forename: P
authors.initials: P
authors.lastname: Calabrò
authors.forename: L
authors.initials: L
authors.lastname: Preda
authors.forename: E M
authors.initials: EM
authors.lastname: Di Maggio
authors.forename: A
authors.initials: A
authors.lastname: Caprotti
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000601:surgery; D000293:Adolescent; D000368:Aged; D003937:Diagnosis, Differential; D005069:Evaluation Studies as Topic; D005153:Facial Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008337:Mandibular Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D012887:Skull Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods*
vernacular_title: La tomografia computerizzata spirale con ricostruzione tridimensionale (spiral 3DCT) nello studio della patologia maxillo-facciale.