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Congress: ECR25
Poster Number: C-10604
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-10604
Authorblock: N. Adell-Gómez, A. Valls-Ontañón, A. Malet-Contreras, M. Gómez-Chiari, A. Valls, J. Rubio-Palau; Barcelona/ES
Disclosures:
Núria Adell-Gómez: Nothing to disclose
Adaia Valls-Ontañón: Nothing to disclose
Albert Malet-Contreras: Nothing to disclose
Marta Gómez-Chiari: Nothing to disclose
Arnau Valls: Nothing to disclose
Josep Rubio-Palau: Nothing to disclose
Keywords: Bones, Head and neck, Cone beam CT, Computer Applications-3D, Computer Applications-Virtual imaging, Image verification, Quality assurance
Learning objectives To evaluate the role of intraoperative CT imaging in enhancing precision and outcomes in maxillofacial surgery. To discuss the advantages of intraoperative comparison between surgical outcomes and previous surgical planning.
Read more Background Virtual Surgical Planning in Maxillofacial SurgeryVirtual surgical planning has transformed maxillofacial surgery, enhancing the precision of complex procedures [1][2]. Using preoperative Computed Tomography (CT) and/or Magnetic Resonance Imaging (MRI), this planning incorporates advanced techniques such as 3D visualization, virtual reality, 3D-printed models, and customized 3D-printed surgical guides.Despite these advancements, achieving exact alignment between surgical execution and the preoperative plan remains challenging. Usually, radiological evaluations of surgical outcomes—especially in orthognathic and distraction osteogenesis surgeries—are performed postoperatively, often weeks after the procedure,...
Read more Findings and procedure details Radiological Findings and Benefits of Intraoperative CBCT in Maxillofacial SurgeryThe radiological findings are summarized in Fig. 4, showing the significant benefits of integrating intraoperative CBCT into maxillofacial surgery workflows. [fig 4] This approach allowed for real-time comparison of surgical outcomes with the preoperative virtual surgical plan, offering surgeons immediate feedback to make precise adjustments during the procedure. By enhancing intraoperative accuracy, this workflow helped achieve a higher degree of precision in meeting planned surgical objectives.The procedures using this method included a range of...
Read more Conclusion The integration of intraoperative CBCT imaging in maxillofacial surgery has the potential to enhance both surgical precision and radiological assessment. Real-time imaging not only allows for immediate comparison with the virtual surgical plan, ensuring better alignment with preoperative planning, but also provides detailed radiological insights during the procedure. This enables the identification of anatomical structures, detection of any intraoperative deviations, and accurate assessment of bone positioning. Intraoperative CBCT serves as a tool for validating surgical planning results, reinforcing its accuracy...
Read more References [1] Valls-Ontañón A, Malet-Contreras A, Peralta-Amores F, Adell-Gómez N, Flores C, Calonge W, Gómez-Chiari M, Valls-Esteve A, Rubio-Palau J. An updated protocol for mandibular reconstruction in nongrowing patients with craniofacial microsomia with temporomandibular joint total prosthesis, Journal of Cranio-Maxillofacial Surgery, Volume 52, Issue 9, 2024, Pages 1019-1023[2] Rubio-Palau J, Gonçalves J, Malet-Contreras A, Adell-Gómez N, Arenas-Costa T, Calonge W, Valls-Esteve A, Valls-Ontañón A. In-House Virtual Planning and 3D Printed Surgical Guides for Reconstructive Rhinoplasty, Aesthetic Surgery Journal, 2024[3] Shaye, D....
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