Mandibular angle split osteotomy based on a novel augmented reality navigation using specialized robot-assisted arms—A feasibility study

Lin, Li; Shi, Yunyong; Tan, Andy; Bogari, Melia; Zhu, Ming; Xin, Yu; Xu, Hui‐Xiong; Zhang, Yan; Xie, Le; Chai, Gang

doi:10.1016/j.jcms.2015.10.024

Cited by 68 publications

(53 citation statements)

References 21 publications

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“…This latter disadvantage plausibly could be eliminated with the implementation of AR technology and superimposition of the VSP components or positions of the anatomical structures directly onto the surgeon's visual field. Many researchers tried to implement the AR‐based technologies to the head and neck surgery, primarily to support oncological and orthognathic procedures …”

Section: Discussionmentioning

confidence: 99%

“…Both methods proposed here may also find application in simultaneous mandibular resection and reconstruction (see Supporting Appendix 1, available online). The AR‐based navigation may be used for controlled excision of a mandibular fragment to obtain the defect with specific dimensions, which then undergoes a virtual repair with FFF . Using this algorithm, the whole preparation for CAS can be completed in 1 day, whereas designing, production, and delivery of cutting guides would take a few weeks.…”

Section: Discussionmentioning

confidence: 99%

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Supporting fibula free flap harvest with augmented reality: A proof‐of‐concept study

et al. 2019

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Objective: To analyze a novel navigation system utilizing augmented reality (AR) as a supporting method for fibula free flap (FFF) harvest and fabrication.Methods: A total of 126 simulated osteotomies supported with a cutting guide or one of two AR-based intraoperative navigation modules-simple AR (sAR) or navigated AR (nAR)-were carried out on 18 identical models of the fibula (42 osteotomies per method). After fusing postoperative computed tomography scans of the operated fibulas with the virtual surgical plan based on preoperative images, the objective outcomes-angular deviations from the planned osteotomy trajectory ( o ) and deviations of control points marked on the trajectory (mm)-were determined.Results: All analyzed methods provided similar accuracy of assisted osteotomies. The only significant difference referred to angular deviation in the sagittal plane, which was smaller after the cutting guide-assisted procedures than after the application of sAR and nAR (4.1 AE 2.29 vs. 5.08 AE 3.64 degrees, P = 0.031 and 4.1 AE 2.29 vs. 4.97 AE 2.91, P = 0.002, respectively). Mean deviation of control points after the cutting guide-assisted procedures was 2.76 AE 1.06 mm, as compared with 2.67 AE 1.09 mm for sAR and 2.95 AE 1.11 mm for nAR.Conclusion: Our study demonstrated that both novel AR-based methods provided similar accuracy of assisted harvesting and contouring of the FFF as the cutting guides. This fact, as well as the acceptability of the concept by clinicians, justify their further development and evaluation in preclinical settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Supporting fibula free flap harvest with augmented reality: A proof‐of‐concept study

et al. 2019

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“…Navigation systems can improve the visual capability but cannot reduce the physical burden of the surgeon; medical robots can augment manual capability but have no help with the visual capability. Therefore, some integrated OMS systems have already been developed to improve both visual and manual capability of the surgeon, which provide a promising and practical way to help the surgeon conduct intricate operation. In the integrated system, the surgeon is the connector between the navigation and robot, who watches the display of navigation system and uses the manipulator to control the robot.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, some integrated OMS systems have already been developed to improve both visual and manual capability of the surgeon, 4,[22][23][24] which provide a promising and practical way to help the surgeon conduct intricate operation. In the integrated system, the surgeon is the connector between the navigation and robot, who watches the display of navigation system and uses the manipulator to control In our previous work, a markerless navigation system and a compact robot were individually developed for the artificial reality (AR) guide and positioning purpose for OMS, [12][13][14]21 whose main targets focused on assisting the surgeon.…”

Section: Introductionmentioning

confidence: 99%

Development and preliminary evaluation of an autonomous surgical system for oral and maxillofacial surgery

Kobayashi

Wang

et al. 2019

Robotics Computer Surgery

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Background Human‐related factors affect the accuracy and safety of the oral and maxillofacial surgery (OMS). This study proposed an autonomous surgical system aiming to conduct the OMS under the assistance and surveillance of the surgeon. Methods A markerless navigation module and a compact OMS robot were seamlessly integrated into this system. The specifications of each module and the working concept of the system were elaborated in this paper. A drilling experiment was conducted on five 3D‐printed mandible models to test the pose detecting capability and evaluate the operational performance. Results The experiment showed that this system could successfully guide the robot finishing the operation regardless of the mandible pose. The accuracy of software and hardware are acceptable and potential performance improvement can be achieved in positioning accuracy. Conclusion This system proposed a novel concept and a practical solution to decrease the human‐related factors on the OMS, which may change the role of the surgeon in the future operating room and finally benefit the outcomes of OMS.

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“…Kawana et al [18] developed a remote controlled haptic drilling robot for oral and maxillofacial system. In addition, craniomaxillofacial surgery assisted robots have conducted extensive research in tumor treatment and other surgeries [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Control Strategy and Experiments for Robot Assisted Craniomaxillofacial Surgery System

Cui

Wang

Duan

et al. 2019

Mathematical Problems in Engineering

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Since the intricate anatomical structure of the craniomaxillofacial region and the limitation of surgical field and instrument, the current surgery is extremely of high risk and difficult to implement. The puncturing operations for biopsy, ablation, and brachytherapy have become vital method for disease diagnosis and treatment. Therefore, a craniomaxillofacial surgery robot system was developed to achieve accurate positioning of the puncture needle and automatic surgical operation. Master-salve control and "kinematic + optics" hybrid automatic motion control based on navigation system, which is proposed in order to improve the needle positioning accuracy, were implemented for different processes of the operation. In addition, the kinematic simulation, kinematic parameters identification, positioning accuracy experiment (0.56 ± 0.21 mm), and phantom experiments (1.42 ± 0.33 mm, 1.62 ± 0.26 mm, and 1.41 ± 0.30 mm for biopsy, radiofrequency, and brachytherapy of phantom experiments) were conducted to verify the feasibility of the hybrid automatic control method and evaluate the function of the surgical robot system.

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Mandibular angle split osteotomy based on a novel augmented reality navigation using specialized robot-assisted arms—A feasibility study

Cited by 68 publications

References 21 publications

Supporting fibula free flap harvest with augmented reality: A proof‐of‐concept study

Supporting fibula free flap harvest with augmented reality: A proof‐of‐concept study

Development and preliminary evaluation of an autonomous surgical system for oral and maxillofacial surgery

Control Strategy and Experiments for Robot Assisted Craniomaxillofacial Surgery System

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