The value of intraoperative CT in surgical treatment with maxillofacial fractures

doi:10.19438/j.cjoms.2019.02.008

Abstract

Abstract: PURPOSE: To investigate the use and value of intraoperative CT (ICT) in maxillofacial trauma surgery. METHODS: Eighty-seven patients with maxillofacial fracture who underwent operation at Lanzhou General Hospital from July 2016 to March 2018 were retrospectively studied. The patients were categorized into 2 groups: ICT group(41 cases) and control group(46 cases). Demographics, fracture distribution, surgical factors, and clinical outcomes were compared using SPASS 22.0 software package. RESULTS: Compared with the control group,patients in ICT group had higher intraoperative revision rate and postoperative satisfaction rate. There was no significant difference in mean age, fracture type, number of plate, operation time, hospital stay, treatment cost, and rate of wound infection between the two groups. Intraoperative revisions rate was 29% with the aid of ICT. COCNLUSIONS: ICT scanning is useful in evaluating intraoperative reduction and fixation, so that a real-time revision decision could be made. It can improve the reduction accuracy and treatment outcome.

Key words: Intraoperative CT, Maxillofacial trauma, Reduction and fixation

CLC Number:

R782.4

MA Dong-yang, CAO Jian, PANG Chao-yuan, ZHANG Wen-kai, YANG Yang, MAN Qi-shang. The value of intraoperative CT in surgical treatment with maxillofacial fractures[J]. China Journal of Oral and Maxillofacial Surgery, 2019, 17(2): 141-145.

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