Impact of intraoperative cone beam computed tomography in the management of zygomatic fractures

Surgical treatment of fractures of the zygomaticomaxillary complex: effect of fixation on repositioning and stability. A systematic review

“…35,37,38,39,40 The introduction of intra operative 3D imaging has changed the treatment concepts for managing ZMC fractures. 41,42 The adequacy of reduction can be addressed by intraoperative imaging instead of additional surgical exposure. 41,42 Thereby more surgical approaches can be avoided and hence, potentially, reduce the amount of complications.…”

“…41,42 The adequacy of reduction can be addressed by intraoperative imaging instead of additional surgical exposure. 41,42 Thereby more surgical approaches can be avoided and hence, potentially, reduce the amount of complications. 12,13,14,35,41,42 Stability can be assessed by comparing the intra-operative scan with the postoperative images through time.…”

“…41,42 Thereby more surgical approaches can be avoided and hence, potentially, reduce the amount of complications. 12,13,14,35,41,42 Stability can be assessed by comparing the intra-operative scan with the postoperative images through time. Intra-operative CBCT will not help with the long-term stability but is necessary to assess stability through time.…”

“…Intraoperative CBCT devices are expensive. 41 Other disadvantages are the limited availability of intraoperative CBCT scanning and the radiation exposure. 41,42 Scanning costs extra operation time, but can also result in a reduction of operation time, when additional surgical approaches can be avoided.…”

“…41 Other disadvantages are the limited availability of intraoperative CBCT scanning and the radiation exposure. 41,42 Scanning costs extra operation time, but can also result in a reduction of operation time, when additional surgical approaches can be avoided. Interestingly, in this review 12 studies verified the reduction postoperatively, but none intraoperatively.…”