Closed reduction of mandibular condyle fractures using C-arm fluoroscopy: a technical note

Imai, Tomoaki; Michizawa, Masahiro; Yamamoto, Naofumi; Kai, Tatsuro

doi:10.1016/j.oooo.2011.08.018

Cited by 7 publications

(12 citation statements)

References 18 publications

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“…2,13,14 Intraoperative image assessment has been proposed as an adjuvant solution to this limitation. For intraoperative evaluation of treatment for mandibular condylar fracture, fluoroscopy 15 and mCBCT 2 have been reported in addition to plain X-ray imaging. In our case, although we evaluated reduction of mandibular condylar fracture using intraoperative plain X-P, we were unable to make an accurate diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it can be operated without a radiology technologist and is widely available in trauma centers and several hospitals. 15 Consequently, the fluoroscopic technique is routinely used in orthopedic surgery. However, unfortunately, it is very difficult to evaluate 2D X-ray images because of the fine structures and overlap with other anatomical structures.…”

Section: Discussionmentioning

confidence: 99%

“…However, unfortunately, it is very difficult to evaluate 2D X-ray images because of the fine structures and overlap with other anatomical structures. 16 Although certain sites (eg, single-line subcondylar fracture) can be evaluated by selecting a specific direction of the X-rays, 15 it is impossible to evaluate complicated fractures; therefore, this strategy may not necessarily be clinically useful.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Open Reduction and Internal Fixation of Mandibular Condyle Fracture by Intraoperative Cone-Beam Computed Tomography in a Hybrid Operating Room

Sukegawa

Masui

Kanno

et al. 2020

Journal of Craniofacial Surgery

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Condylar fractures are the most common fractures of the mandible, and treatment of mandibular condylar fractures by maxillofacial surgeons is a very important procedure. However, the surgical approaches have anatomical limitations. Therefore, it is difficult to evaluate the reduction achieved in open reduction and internal fixation because of the uncertainty in securing a sufficient operative field. As a potential solution, the authors evaluated the benefits of intraoperative cone-beam computed tomography (CBCT) with high image quality performed in a hybrid operating room. Intraoperative CBCT is easy to perform in a hybrid operating room, and it is possible to quickly evaluate high-quality CT images, including 3D images. Because the state of reduction of mandibular condylar fractures also affects the prognosis of treatment, more precise reduction and fixation should improve prognoses. The use of CBCT in a hybrid operating room also avoids re-operation, and patients benefit from minimum invasive surgery. Intraoperative CBCT is a very useful strategy for evaluation of mandibular condylar fracture surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Evaluation of Open Reduction and Internal Fixation of Mandibular Condyle Fracture by Intraoperative Cone-Beam Computed Tomography in a Hybrid Operating Room

Sukegawa

Masui

Kanno

et al. 2020

Journal of Craniofacial Surgery

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show abstract

“…Portable X-ray requires re-positioning of the patient to obtain the desired perspective. C-arm fluoroscopy carries the risks of irradiation, and its accuracy was found to be lower than that of ultrasound in evaluating the nasal fracture [ 5 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Reductions can be visualized intraoperatively using portable X-ray, ultrasound, and C-arm fluoroscopy. Among these methods, we investigated whether the use of intraoperative ultrasound is associated with improved outcomes following closed nasal bone reduction [ 1 3 4 5 ].…”

Section: Introductionmentioning

confidence: 99%

Reduction of Nasal Bone Fracture using Ultrasound Imaging during Surgery

Hwang

Pan

Kim

et al. 2016

Arch Craniofac Surg

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BackgroundMost nasal bone fractures are corrected using non-invasive methods. Often, patients are dissatisfied with surgical outcomes following such closed approach. In this study, we compare surgical outcomes following blind closed reduction to that of ultrasound-guided reduction.MethodsA single-institutional prospective study was performed for all nasal fracture patients (n=28) presenting between May 2013 and November 2013. Upon research consent, patients were randomly assigned to either the control group (n=14, blind reduction) or the experimental group (n=14, ultrasound-guided reduction). Surgical outcomes were evaluated using preoperative and 3-month postoperative X-ray images by two independent surgeons. Patient satisfaction was evaluated using a questionnaire survey.ResultsThe experimental group consisted of 4 patients with Plane I fracture and 10 patients with Plane II fracture. The control group consisted of 3 patients with Plane I fracture and 11 patients with Plane II fracture. The mean surgical outcomes score and the mean patient dissatisfaction score were found not to differ between the experimental and the control group in Plane I fracture (p=0.755, 0.578, respectively). In a subgroup analysis consisting of Plane II fractures only, surgeons graded outcomes for ultrasound-guided reduction higher than that for the control group (p=0.007). Likewise, among the Plane II fracture patients, those who underwent ultrasound-guided reduction were less dissatisfied than those who underwent blind reduction (p=0.043).ConclusionOur study result suggests that ultrasound-guided closed reduction is superior to blind closed reduction in those patients with Plane II nasal fractures.

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Computer-aided design-based preoperative planning of screw osteosynthesis for type B condylar head fractures: A preliminary study

Guo

Zhou

Wan

et al. 2016

Journal of Cranio-Maxillofacial Surgery

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Closed reduction of mandibular condyle fractures using C-arm fluoroscopy: a technical note

Cited by 7 publications

References 18 publications

Evaluation of Open Reduction and Internal Fixation of Mandibular Condyle Fracture by Intraoperative Cone-Beam Computed Tomography in a Hybrid Operating Room

Evaluation of Open Reduction and Internal Fixation of Mandibular Condyle Fracture by Intraoperative Cone-Beam Computed Tomography in a Hybrid Operating Room

Reduction of Nasal Bone Fracture using Ultrasound Imaging during Surgery

Computer-aided design-based preoperative planning of screw osteosynthesis for type B condylar head fractures: A preliminary study

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