Clinical indication for intraoperative 3D imaging during open reduction of fractures of the neck and head of the mandibular condyle

Klatt, Jan; Heiland, Max; Blessmann, Marco; Blake, Felix; Schmelzle, R.; Pohlenz, Philipp

doi:10.1016/j.jcms.2010.06.009

Cited by 37 publications

(25 citation statements)

References 17 publications

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“…Some methods are described to predict soft tissue via cephalograms, which are able to create three-dimensional images. Ethically, the benefit of cephalograms might not justify the patient’s exposure to ionizing radiation [35]. …”

Section: Discussionmentioning

confidence: 99%

Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study

Modabber

Rana

Ghassemi

et al. 2013

Trials

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BackgroundSurgical treatment and complications in patients with zygomatic bone fractures can lead to a significant degree of tissue trauma resulting in common postoperative symptoms and types of pain, facial swelling and functional impairment. Beneficial effects of local cold treatment on postoperative swelling, edema, pain, inflammation, and hemorrhage, as well as the reduction of metabolism, bleeding and hematomas, have been described.The aim of this study was to compare postoperative cooling therapy applied through the use of cooling compresses with the water-circulating cooling face mask manufactured by Hilotherm in terms of beneficial impact on postoperative facial swelling, pain, eye motility, diplopia, neurological complaints and patient satisfaction.MethodsForty-two patients were selected for treatment of unilateral zygomatic bone fractures and were divided randomly to one of two treatments: either a Hilotherm cooling face mask or conventional cooling compresses. Cooling was initiated as soon as possible after surgery until postoperative day 3 and was applied continuously for 12 hours daily. Facial swelling was quantified through a three-dimensional optical scanning technique. Furthermore, pain, neurological complaints, eye motility, diplopia and patient satisfaction were observed for each patient.ResultsPatients receiving a cooling therapy by Hilotherm demonstrated significantly less facial swelling, less pain, reduced limitation of eye motility and diplopia, fewer neurological complaints and were more satisfied compared to patients receiving conventional cooling therapy.ConclusionsHilotherapy is more efficient in managing postoperative swelling and pain after treatment of unilateral zygomatic bone fractures than conventional cooling.Trial registrationGerman Clinical Trials Register ID: DRKS00004846

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Section: Discussionmentioning

confidence: 99%

Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study

Modabber

Rana

Ghassemi

et al. 2013

Trials

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“…There is limited literature on dose with the use of intraoperative MDCT and a more comprehensive investigation would be beneficial. Studies by Stuck et al and Klatt et al have reported a comparable ED to pre‐operative MDCT examinations.…”

Section: Discussionmentioning

confidence: 81%

“…A number of studies conclude that the impact of intraoperative CT is significant, with surgical decisions affected in up to 2/3 of patients . Consolidation of optimal fracture reduction limits the need for additional corrective procedures and subsequent repeat CT imaging . There is limited literature on dose with the use of intraoperative MDCT and a more comprehensive investigation would be beneficial.…”

Section: Discussionmentioning

confidence: 99%

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Hooper

Eccles

Milliken

et al. 2019

J of Medical Radiation Sci

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Trauma to the facial area accounts for a significant number of admissions to the emergency department. Diagnostic imaging is almost always required, and is critical in determining patient management. Multi‐detector computed tomography (MDCT) appears consistently in the literature as the gold‐standard imaging modality for facial bones, but results in a high radiation dose to the patient. This makes the application and advancement of dose reduction and dose optimisation methods vital. This narrative review presents a critical analysis of the literature concerning diagnostic imaging of facial bone trauma, with an emphasis on dose reduction methods for MDCT. Databases including Pubmed, Medline, Web of Science and Scopus were used to investigate this topic, with the key words: facial bone trauma, computed tomography (CT) imaging and dose reduction. Exclusion criteria included studies on nasal bone fracturing, dental imaging, elective surgeries and paediatric imaging. The literature shows overwhelming support for MDCT, given its accuracy, efficiency and ease of operation. Noise reducing reconstruction algorithms show promise as a successful method of dose reduction in facial bone imaging. Investigations of more innovative techniques also appear within the literature, including diagnostic cone‐beam CT (CBCT), intraoperative CBCT and dual‐source CT (DSCT), but further research is required to confirm their clinical value.

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“…Computerized tomography with three-dimensional reconstructions is considered to be the most effective diagnostic investigation (Harstall et al, 2005;Magge et al, 2007). According to recent literature, intraoperative use of three-dimensional computed tomography imaging might be advantageous in future case management because of potential optimization of the surgical outcome for fractures of the condylar process and head of the mandible, reduction of postoperative complications and minimization of surgical approaches (Klatt et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Dislocation of the mandibular condyle into the middle cranial fossa causing an epidural haematoma

Struewer¹,

Kiriazidis²,

Figiel³

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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Clinical indication for intraoperative 3D imaging during open reduction of fractures of the neck and head of the mandibular condyle

Cited by 37 publications

References 17 publications

Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study

Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods: a randomized, observer-blind, prospective study

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Dislocation of the mandibular condyle into the middle cranial fossa causing an epidural haematoma

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