Abstract

With the improvement in computer graphics and sensors, technologies like virtual reality (VR) and augmented reality (AR) have created new possibilities for developing diagnostic and surgical techniques in the field of surgery. VR and AR are the latest technological modalities that have been integrated into clinical practice and medical education, and are rapidly emerging as powerful tools in the field of maxillofacial surgery. In this report, we describe a case of total maxillectomy and orbital floor reconstruction in a patient with malignant fibrous histiocytoma of the maxilla, with preoperative planning via VR simulation and AR-guided surgery. Future developments in VR and AR technologies will increase their utility and effectiveness in the field of surgery.

Highlights

  • Virtual reality (VR) is a contemporary technology that is being used in medical education and simulations during surgery

  • This study describes the application of virtual reality (VR) planning and augmented reality (AR)-guided surgery for total maxillectomy in a patient with malignant fibrous histiocytoma in the maxilla

  • We developed a VR simulation software using Unity 3D, which could simulate preoperative planning using a head mounted display (VIVE pro, HTC, Taoyuan, Taiwan) with intuition and immersiveness

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Summary

Introduction

Virtual reality (VR) is a contemporary technology that is being used in medical education and simulations during surgery. It is important for the surgeons to understand the patient’s anatomy and practice accurate surgical skills This is important in maxillofacial surgery, which greatly influences patients’ appearance and masticatory ability [1]. The first use of VR in the medical field was reported in the 1990s, which involved visualization of complex medical data during surgery and establishing surgical plans preoperatively with the assistance of VR [2]. The process of manufacturing surgical guides is time-consuming and involves additional costs. Surgical guides cannot respond to simulationtime-consuming and AR-guided various unexpected situations during. VR planning and AR-guided maxillectomy this process with VR simulation and AR-guided surgery [7]. This study describes the application of VR planning and AR-guided surgery for total maxillectomy in a patient with malignant fibrous histiocytoma in the maxilla

Case Presentation
VR for Surgical Planning
AR-guided Surgery and Postoperative Analysis
Discussion
Conclusions
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