Image-Guided Surgery in Complex Skull Base and Facial Fractures: Initial Experience on the Role of Intra-Operative Computer Tomography.

Autor:	Certo F; Department of Medical and Surgical Sciences and Advanced Technologies (G.F. Ingrassia), Neurological Surgery, Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy.; Department of Neurological Surgery, Policlinico 'G. Rodolico' University Hospital, Catania, Italy., Altieri R; Department of Medical and Surgical Sciences and Advanced Technologies (G.F. Ingrassia), Neurological Surgery, Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy., Crimi S; Department of General Surgery, Section of Maxillo Facial Surgery Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy., Gurrera G; Department of General Surgery, Section of Maxillo Facial Surgery Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy., Cammarata G; Department of Medical and Surgical Sciences and Advanced Technologies (G.F. Ingrassia), Neurological Surgery, Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy., Visocchi M; Institute of Neurosurgery, Catholic University of Rome, Rome, Italy., Bianchi A; Department of General Surgery, Section of Maxillo Facial Surgery Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy., Barbagallo GMV; Department of Medical and Surgical Sciences and Advanced Technologies (G.F. Ingrassia), Neurological Surgery, Policlinico 'G. Rodolico-San Marco' University Hospital, University of Catania, Catania, Italy.
Jazyk:	angličtina
Zdroj:	Acta neurochirurgica. Supplement [Acta Neurochir Suppl] 2023; Vol. 135, pp. 61-67.
DOI:	10.1007/978-3-031-36084-8_11
Abstrakt:	Surgery of fractures involving the skull base and the facial skeleton often presents challenges that should be addressed to prevent secondary brain injuries (i.e., cerebro-spinal fluid leak), preserve visual functioning, and guarantee a good esthetic result. Complex craniofacial reconstruction can be aided by navigation and pre-operative planning. In recent years, computerized planning of surgical reconstruction drastically increased the safety and efficacy of surgery, but the impact of intraoperative high quality image devices such as an intraoperative computed tomography (CT) scan has not been investigated yet. This case-control study reports the institutional preliminary experience of using intraoperative CT scans in the surgical management of complex cranio-facial fractures. The results in terms of accuracy of bony reconstruction and neurological or surgical complications have been analyzed in 12 consecutive patients treated with (6 cases) or without (6 cases) i-CT. Comparative analysis demonstrated a greater accuracy of reconstruction in patients treated with the assistance of i-CT. Intraoperative CT is a useful tool with a promising role in a multidisciplinary surgical approach to complex cranio-facial surgery. (© 2023. The Author(s), under exclusive license to Springer Nature Switzerland AG.)
Databáze:	MEDLINE
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