Intraoperative 3D imaging of the facial skeleton using the SIREMOBIL Iso-C3D.
OBJECTIVE
With respect to high-contrast structures, cone beam computed tomography (CBCT) offers an alternative imaging modality to computed tomography (CT), requiring less radiation exposure. The C-arm system SIREMOBIL Iso-C3D for three-dimensional (3D) reconstruction has made this modality available for intraoperative use. This paper presents the first intraoperative images of the facial skeleton using the SIREMOBIL Iso-C3D.


METHODS
Cases of a zygomaticomaxillary complex fracture, a mandibular angle fracture and a bimaxillary repositioning osteotomy are described to demonstrate the application possibilities of this system in maxillofacial surgery.


RESULTS
In addition to the uncomplicated handling of the SIREMOBIL Iso-C3D, generally important was the low level of metal artefacts in its primary and secondary reconstructions, even in close proximity to the material. However, it has to be kept in mind that while soft tissues are visualized using CBCT, information about soft tissue quality cannot be obtained.


CONCLUSIONS
The SIREMOBIL Iso-C3D generates intraoperative data sets suitable for the visualization of the facial bones after open reduction of fractures.
Heiland
M
M
Department of Oral and Maxillofacial Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany. heiland@uke.uni-hamburg.de
Schmelzle
R
R
Hebecker
A
A
Schulze
D
D
D000293:Adolescent; D000328:Adult; D005147:Facial Bones / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000295:instrumentation*; D007430:Intraoperative Care / Q000379:methods*; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D008440:Maxillary Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D017253:Neurofibromatoses / Q000000981:diagnostic imaging / Q000601:surgery; D019647:Oral Surgical Procedures; D056948:Orthognathic Surgical Procedures; D036542:Tomography, Spiral Computed / Q000295:instrumentation* / Q000379:methods; D015051:Zygomatic Fractures / Q000000981:diagnostic imaging / Q000601:surgery