Computer-Aided Surgical Reduction of Facial Fractures

Mimi S. Kokoska; Martin J. Citardi

doi:10.1055/s-2000-12577

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2000; 16(2): 169-180
DOI: 10.1055/s-2000-12577

Computer-Aided Surgical Reduction of Facial Fractures

Mimi S. Kokoska¹ , Martin J. Citardi²

¹Department of Otolaryngology-Head and Neck Surgery, Saint Louis University Health Sciences Center, St. Louis, MO
²Department of Otolaryngology and Communicative Sciences, Cleveland Clinic Foundation, Cleveland, OH.

Abstract

ABSTRACT

The successful surgical treatment of facial fractures is based primarily on the spatial judgment of the surgeon, who may utilize occlusal and skeletal relationships to confirm adequacy of the reduction. Although computed tomography (CT) scans are helpful visual representations of the fractures, they cannot be used directly to guide the reduction. Currently the surgeon may extract an approximate measurement of displacement or defect size from a CT scan, but intraoperatively he must reduce a fracture or place an implant based on his best guess, using adjacent normal skeleton as landmarks. Computer-aided surgery (CAS) can be used to bridge the discontinuity between preoperative CT scan images and intraoperative facial fracture reduction. This article summarizes our experience with CAS applications in the treatment of facial fractures.

KEYWORD

fractures - computer-aided surgery

Full Text

References

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