Reconstruction of the craniofacial skeleton after traumatic injury relies on immediate adjacent nondisplaced bone for restoration of contour. In complex fractures, neighboring bone may be lost or significantly fragmented, leaving little guidance to the 3-dimensional skeletal architecture. Recently, image guidance systems have been used in neurosurgery and sinus and spine surgery for intraoperative corroboration using preoperative radiologic images. We report the intraoperative use of an image guidance system for real-time localization of displaced facial skeletal segments during reduction and internal fixation.
StanleyRB. Use of intraoperative computer tomography during repair of orbitozygomatic fractures. Arch Facial Plast Surg. 1999; 1:19-24. http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&Dopt=r&uid=htbin-post/Entrez/query?db=m&form=6&Dopt=r&uid=10937070
4.
CuttingC, GraysonB, KimH. Precision multi-segment bone positioning using computer-aided methods in craniofacial surgical applications. IEEE Eng Med Biol Mag. 1990; 12:1926.
5.
CitardiMJ, HermannB, HollenbeakC, StackBC, CooperM, BucholzRD. Comparison of scientific calipers and computer-enabled CT review for measurement of skull base and craniomaxillofacial dimensions. Skull Base Interdisciplinary Approach. 2001; 11:5-11.
