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Preliminary reports of augmented-reality assisted craniofacial bone fracture reduction

  • Author Footnotes
    1 Li Lin and Yuan Gao contributed equally to this paper.
    Li Lin
    Footnotes
    1 Li Lin and Yuan Gao contributed equally to this paper.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Rd, Shanghai 200011, China

    Institute of Forming Technology & Equipment, Shanghai Jiao Tong University, Xuhui Campus, 1954 Hua Shan Rd, Shanghai 200030, China
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  • Author Footnotes
    1 Li Lin and Yuan Gao contributed equally to this paper.
    Yuan Gao
    Footnotes
    1 Li Lin and Yuan Gao contributed equally to this paper.
    Affiliations
    Institute of Forming Technology & Equipment, Shanghai Jiao Tong University, Xuhui Campus, 1954 Hua Shan Rd, Shanghai 200030, China
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  • Zin Mar Aung
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Rd, Shanghai 200011, China
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  • Haisong Xu
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Rd, Shanghai 200011, China
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  • Bingshun Wang
    Affiliations
    Department of Biostatistics, Clinical Research Institute, Shanghai Jiao Tong University School of Medicine, 227 Chong Qing Nan Rd, Shanghai 200025, China
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  • Xianxian Yang
    Correspondence
    Corresponding author at: Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Road, Shanghai 200011, China.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Rd, Shanghai 200011, China
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  • Gang Chai
    Correspondence
    Corresponding author at: Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Road, Shanghai 200011, China.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhi Zao Ju Rd, Shanghai 200011, China

    The College of Medical Instrument, Shanghai University of Medicine & Health Sciences, No. 257, Zhouzhu Highway, Pudong Campus, Shanghai 200120, China

    Department of Plastic and Reconstructive Surgery, Maternal and Child Health Care Hospital of Hainan Province, Haikou 570206, China
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  • Le Xie
    Correspondence
    Corresponding author: Institute of Forming Technology & Equipment, Shanghai Jiao Tong University, Xuhui Campus, 1954 Hua Shan Rd, Shanghai 200030, China.
    Affiliations
    Institute of Forming Technology & Equipment, Shanghai Jiao Tong University, Xuhui Campus, 1954 Hua Shan Rd, Shanghai 200030, China

    Institute of Medical Robotics, Shanghai Jiao Tong University, Minhang Campus, 800 Dong Chuan Rd, Shanghai 200240, China

    National Digital Manufacturing Technology Center, Shanghai Jiao Tong University, Xuhui Campus, 1954 Hua Shan Rd, Shanghai 200030, China
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  • Author Footnotes
    1 Li Lin and Yuan Gao contributed equally to this paper.

      Summary

      Background

      Zygomaticomaxillary complex fractures involve four fracture ends. It is difficult to fully expose the operative area through a main coronal incision, an intraoral incision, and an eyelid incision. To address the partial visual field loss in craniofacial fracture reduction, we attempted to use an augmented reality (AR) navigation system.

      Methods

      Patients with zygomaticomaxillary complex fractures underwent three-dimensional (3D) computed tomography (CT) modeling before surgery, and preoperative plans were designed. The control team used traditional optical navigation to perform the surgery. The experimental team used an AR navigation system. From May 2019 to December 2019, 10 patients with zygomaticomaxillary complex fractures were included in this study. Data were collected after surgery and analyzed.

      Results

      There was a significant difference between the two groups in the fracture point error (1.35 vs. 1.61, P = 0.02) and fracture reduction time (15.40 vs. 20.40, P = 0.03). However, there was no difference in the operative duration (6.60 vs. 6.65, P = 0.92), blood loss volume (620.00 vs. 580.00, P = 0.83), or incidence of complications.

      Conclusions

      The AR navigation system used by the research team has good auxiliary effects for reducing zygomaticomaxillary complex fractures. The new surgical method has better accuracy and a shorter reduction time than the traditional surgical method.

      Keywords

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      Linked Article

      • Re: Preliminary reports of augmented-reality assisted craniofacial bone fracture reduction
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 75Issue 11
        • Preview
          I have read with great interest Lin and colleagues' article on the use of augmented reality (AR) in zygomaticomaxillary complex (ZMC) fractures fixation.1 Augmented Reality (AR) is a rapidly advancing technology that is gaining acceptance and application in a variety of surgical fields. There have been numerous studies evaluating the precision and accuracy of AR-guided navigation. This study contributes to the body of evidence demonstrating the exciting potential of augmented reality in craniomaxillofacial surgery.
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