Abstract
Since custom-made 3D printed surgical guides for maxillofacial surgery are usually expensive, Augmented Reality (AR) can be efficiently employed to overcome the high costs.
The proposed work aims to develop and test an AR application for different maxillofacial surgeries. The application consists in overlaying the cutting lines on the patient’s mandible to guide the clinician during the procedure. It has been realized in Unity and preliminary tested with HoloLens 2 and a 3D printed mandible. Seven participants performed two consecutive trials. The mandible with the obtained surgical lines has been scanned after each test to digitally reconstruct the traced lines and compare them with the surgical lines previously designed.
The results allowed the preliminary analysis of the developed AR system’s accuracy and precision. Mean distances from the designed surgical guides showed good accuracy for the genioplasty (deviation error around 1.03 mm) and orthognathic surgery (deviation error around 1.27 mm), suggesting the applicability of HoloLens 2 for these kinds of surgery. On the contrary, the application was not suitable for the mandibular angle osteotomy (deviation error over 2.50 mm).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Badiali, G., et al.: Augmented reality as an aid in maxillofacial surgery: validation of a wearable system allowing maxillary repositioning. J. Cranio-Maxillofacial Surg. 42(8), 1970–1976 (2014)
Scolozzi, P., Zulma, C.: Applications de la chirurgie maxillo-faciale assistée par ordinateur. Rev. Med. Suisse 15, 1226–1230 (2019)
Vávra, P., et al.: Recent development of augmented reality in surgery: a review. J Healthcare Eng. 2017, 1–9 (2017)
Lin, L., et al.: Mandibular angle split osteotomy based on a novel augmented reality navigation using specialized robot-assisted arms: a feasibility study. J. Cranio-Maxillofacial Sur. 44(2), 215–223 (2016)
Lin, Y.K., Yau, H.T., Wang, I.C., Zheng, C., Chung, K.H.: A novel dental implant guided surgery based on integration of surgical template and augmented reality. Clin. Implant Dent. Relat. Res. 17, 3 (2015)
Jiang, T., et al.: Precision of a novel craniofacial surgical navigation system based on augmented reality using an occlusal splint as a registration strategy. Sci. Rep. 9, 501 (2019)
Frantz, T., Jansen, B., Duerinck, J., Vandemeulebroucke, J.: Augmenting Microsoft’s HoloLens with Vuforia tracking for neuronavigation. IET J. 5(5), 221–225 (2018)
Itamiya, T., Iwai, T., Kaneko, T.: The holographic human for surgical navigation using Microsoft’s HoloLens. EPiC Ser. Eng. 1, 26–30 (2017)
Meulstee, J.W., et al.: Toward holographic guided surgery. Surg. Innov. 26(1), 86–94 (2019)
Rae, E., Lasso, A., Holden, M.S., Morin, E., Levy, R., Fichtinge, G.: Neurosurgical burr hole placement using the Microsoft HoloLens. In: Conference: Image-Guided Procedures, Robotic Interventions, and Modeling (2018)
Mitsuno, D., Ueda, K., Hirota, Y., Ogino, M.: Effective application of mixed reality device HoloLens: simple manual alignment of surgical field and holograms. Plast. Reconstr. Surg. 143(2), 647–651 (2019)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Brunzini, A., Mandolini, M., Caragiuli, M., Germani, M., Mazzoli, A., Pagnoni, M. (2022). HoloLens 2 for Maxillofacial Surgery: A Preliminary Study. In: Rizzi, C., Campana, F., Bici, M., Gherardini, F., Ingrassia, T., Cicconi, P. (eds) Design Tools and Methods in Industrial Engineering II. ADM 2021. Lecture Notes in Mechanical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-030-91234-5_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-91234-5_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-91233-8
Online ISBN: 978-3-030-91234-5
eBook Packages: EngineeringEngineering (R0)