Use of intraoperative computed tomography in complex craniofacial trauma: an example of on-table change in management.
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.
Department 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.
Clinton S
CS
Morrison
Department of Plastic Surgery, Rhode Island Hospital and Hasbro Children's Hospital, Providence, Rhode Island ; Departments of Surgery and Pediatrics, the Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Helena O
HO
Taylor
Department of Radiology, Rhode Island Hospital and Hasbro Children's Hospital, Providence, Rhode Island.
Scott
S
Collins
Department of Neurosurgery, the Warren Alpert Medical School of Brown University, Providence, Rhode Island ; Department of Neurosurgery, Rhode Island Hospital and Hasbro Children's Hospital, Providence, Rhode Island.
Adetokunbo
A
Oyelese
Department of Plastic Surgery, Rhode Island Hospital and Hasbro Children's Hospital, Providence, Rhode Island ; Departments of Surgery and Pediatrics, the Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Stephen R
SR
Sullivan
intraoperative CT scan; panfacial injuries; technology