Three-dimensional Surgical Planning Research Articles

Computer-assisted three-dimensional surgical planning: 3D virtual articulator: technical note

This study presents a computer-assisted planning system for dysgnathia treatment. It describes the process of information gathering using a virtual articulator and how the splints are constructed for orthognathic surgery. The deviation of the virtually planned splints is shown in six cases on the basis of conventionally planned cases. In all cases the plaster models were prepared and scanned using a 3D laser scanner. Successive lateral and posterior-anterior cephalometric images were used for reconstruction before surgery. By identifying specific points on the X-rays and marking them on the virtual models, it was possible to enhance the 2D images to create a realistic 3D environment and to perform virtual repositioning of the jaw. A hexapod was used to transfer the virtual planning to the real splints. Preliminary results showed that conventional repositioning could be replicated using the virtual articulator.

Three-Dimensional Photography and Its Application to Facial Plastic Surgery

Photography is integral to the practice of facial plastic surgery. We describe a new 3-D photographysystem,the3dMDfaceSystem(3dMD,Atlanta,Ga),whichprovidesahighresolution 3-D image that can be viewed from any angle; has the ability to accurately measure surface distance, area, and volume; and performs profile adjustments that can be viewed in 3 dimensions. We describe specific applications of this system to facial plastic surgery, namely, to that of the aging face.

Three-dimensional surgical planning for maxillary and midface distraction osteogenesis.

Computerized surgical planning protocols for distraction osteogenesis are still in their rudimentary phase. The authors have developed a system to plan distraction osteogenesis in craniofacial and maxillofacial surgery that uses three-dimensional computed tomography scans and computer simulation in a virtual reality environment. This involves the creation of a three-dimensional bone model of the craniofacial skeleton, which incorporates virtual globes. Virtual osteotomies are performed on the bone model and the movements of the bone segments are simulated. The program generates a recipe for the linear and the angular changes necessary to achieve the desired outcome. The purpose of this article is to present this surgical planning process and discuss its use in maxillary and midface distraction.

Computer-assisted three-dimensional surgical planning and simulation. 3D soft tissue planning and prediction

The purpose of this paper is to report a new technique for three-dimensional facial soft-tissue-change prediction after simulated orthognathic surgical planning. A scheme for soft tissue deformation, "Computer-assisted three-dimensional virtual reality soft tissue planning and prediction for orthognathic surgery (CASP)", is presented. The surgical planning was based on three-dimensional reconstructed CT visualization. Soft tissue changes were predicted by two newly devised algorithms: Surface Normal-based Model Deformation Algorithm and Ray Projection-based Model Deformation Algorithm. A three-dimensional color facial texture-mapping technique was also used for generating the color photo-realistic facial model. As a final result, a predicted and simulated patient's color facial model can be visualized from arbitrary viewing points.

Computer-assisted three-dimensional surgical planning and simulation: 3D soft tissue planning and prediction

The purpose of this paper is to report a new technique for three-dimensional facial soft-tissue-change prediction after simulated orthognathic surgical planning. A scheme for soft tissue deformation, “Computer-assisted three-dimensional virtual reality soft tissue planning and prediction for orthognathic surgery (CASP)”, is presented. The surgical planning was based on three-dimensional reconstructed CT visualization. Soft tissue changes were predicted by two newly devised algorithms: Surface Normal-based Model Deformation Algorithm and Ray Projection-based Model Deformation Algorithm. A three-dimensional color facial texture-mapping technique was also used for generating the color photo-realistic facial model. As a final result, a predicted and simulated patient's color facial model can be visualized from arbitrary viewing points.

Computer-assisted three-dimensional surgical planning and simulation: 3D color facial model generation

A scheme for texture mapping a 3D individualized color photo-realistic facial model from real color portraits and CT data is described. First, 3D CT images including both soft and hard tissues should be reconstructed from sequential CT slices, using a surface rendering technique. Facial features are extracted from 3D soft tissue. A generic mesh is individualized by correspondence matching and interpolation from those feature vertices. Three digitized color portraits with the “third” dimension from reconstructed soft tissue are blended and texture-mapped onto the 3D head model (mesh). A color simulated human head generated from frontal, right and left real color portraits can be viewed from an arbitrary angle in an inexpensive and user-friendly conventional personal computer. This scheme is the basic procedure in 3D computer-assisted simulation surgery.

Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy

Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy

Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy

A computer-assisted three-dimensional virtual osteotomy system for orthognathic surgery (CAVOS) is presented. The virtual reality workbench is used for surgical planning. The surgeon immerses in a virtual reality environment with stereo eyewear, holds a virtual “scalpel” (3D Mouse) and operates on a “real” patient (3D visualization) to obtain pre-surgical prediction (3D bony segment movements). Virtual surgery on a computer-generated 3D head model is simulated and can be visualized from any arbitrary viewing point in a personal computer system.

Computer-assisted three-dimensional surgical planning and simulation: 3D color facial model generation

A scheme for texture mapping a 3D individualized color photo-realistic facial model from real color portraits and CT data is described. First, 3D CT images including both soft and hard tissues should be reconstructed from sequential CT slices, using a surface rendering technique. Facial features are extracted from 3D soft tissue. A generic mesh is individualized by correspondence matching and interpolation from those feature vertices. Three digitized color portraits with the “third” dimension from reconstructed soft tissue are blended and texture-mapped onto the 3D head model (mesh). A color simulated human head generated from frontal, right and left real color portraits can be viewed from an arbitrary angle in an inexpensive and user-friendly conventional personal computer. This scheme is the basic procedure in 3D computer-assisted simulation surgery.

Three-dimensional surgical planning in virtual reality environment

Three-dimensional surgical planning in virtual reality environment