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Virtual Reality Planning in Reconstructive Surgery for Orbital Prosthetic Rehabilitation Using ImmersiveTouch
Eduardo Arias-Amezquita1, Lee Alkureishi1, Chad Purnell1
1Department of Surgery, The Craniofacial Center, Division of Plastic, Cosmetic, and Reconstructive Surgery, The University of Illinois, Chicago, IL.
The Journal of Craniofacial Surgery
|October 27, 2023
Summary
This study introduces the first virtual reality planning (VRP) platform for maxillofacial prosthetics. This innovative tool enables precise surgical planning and 3D visualization, improving patient outcomes and clinician training.
Area of Science:
- Medical Technology
- Surgical Planning
- Virtual Reality Applications
Background:
- Virtual reality (VR) is an emerging tool for surgical planning and 3D visualization.
- Digital surgical planning is standard for maxillofacial prosthetics, but lacks a dedicated platform.
- VR offers improved control and reduces reliance on other segmentation software.
Purpose of the Study:
- To develop the first virtual reality planning (VRP) platform and workflow for maxillofacial prosthetics.
- To provide clinicians with enhanced control over presurgical planning.
- To enable direct translation of virtual plans to patient care via 3D printed guides.
Main Methods:
- Applied a novel VRP workflow to two patients with complex maxillofacial defects.
- Utilized cone-beam CT data imported into a specialized VR environment for implant selection and placement.
- Validated VRP accuracy by comparing postoperative CT data with the virtual plan using Mimics software.
Main Results:
- Virtual reality planning averaged 10 minutes for implant placement.
- 3D printed surgical guides took approximately 2 hours to print using biocompatible resin.
- The VRP workflow demonstrated high accuracy with an average displacement of 0.6 mm (SD 0.3 mm).
Conclusions:
- Virtual reality planning (VRP) is an effective tool for training in complex surgical procedures.
- The VRP platform shows promising applicability and efficiency in facial rehabilitation.
- VRP enhances patient engagement, education, and reduces surgical costs.

