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Augmented Reality Navigation in Craniomaxillofacial/Head and Neck Surgery.

E Brandon Strong1, Anuj Patel1, Alexander P Marston1

  • 1Department of Otolaryngology-Head and Neck Surgery University of California, Davis Davis California USA.

OTO Open
|April 14, 2025
PubMed

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Summary

This study developed an augmented reality (AR) navigation platform for craniomaxillofacial surgery. The AR system offers real-time 3D visualization and tracking, enhancing surgical precision and patient outcomes.

Area of Science:

  • Medical Technology
  • Surgical Navigation
  • Augmented Reality

Background:

  • Craniomaxillofacial (CMF) and head and neck surgeries require precise navigation.
  • Traditional navigation systems have limitations in real-time 3D visualization and intraoperative guidance.

Purpose of the Study:

  • To develop and evaluate a novel augmented reality (AR) navigation platform for CMF and head and neck surgery.
  • To assess the clinical utility, advantages, and disadvantages of AR navigation in various surgical scenarios.

Main Methods:

  • A novel AR navigation platform was developed and deployed intraoperatively using a head-mounted display (Microsoft HoloLens 2).
  • Virtual surgical plans were generated from medical imaging data and registered to patients.
  • A retrospective review of 33 AR-navigated CMF cases (trauma, orthognathic, tumor, craniofacial) was conducted.
Keywords:
Le Fortaugmented realityaugmented reality navigationbilateral sagittal split operationbimaxillary advancementcomputer‐aided surgerycranial vault remodelingcraniofacialcraniomaxillofacial surgeryextended realityfacial plastic reconstructivefibula free flapfrontal sinusfronto‐orbital advancementhamartomahead and neck cancermandiblemandibular distractionmandibular reconstructionmeningiomamidfacemixed realitynaso‐orbito‐ethmoidnavigationorbitorthognathicpanfacialspheno‐orbitalsurgically assisted rapid palatal expansion (SARPE)traumatumorsvirtual realityvirtual surgical planningzygomazygomaticomaxillary

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Main Results:

  • The AR platform provided real-time 3D visualization, critical structure identification, and instrument tracking.
  • This series details novel applications of AR, including instrument tracking for osteotomies, fracture reduction, and mandibular reconstruction.
  • Integration of real-time infrared visualization for vasculature identification was demonstrated.

Conclusions:

  • Augmented reality navigation offers significant advantages over traditional methods for CMF and head and neck surgery.
  • AR provides heads-up, interactive 3D visualization and real-time tracking, improving surgical planning and execution.