Effectiveness of Immersive Virtual Reality in Surgical Training—A Randomized Control Trial

Pulijala, Yeshwanth; Ma, Minhua; Pears, Matthew; Peebles, David; Ayoub, Ashraf

doi:10.1016/j.joms.2017.10.002

Cited by 204 publications

(168 citation statements)

References 19 publications

Supporting

Mentioning

157

Contrasting

Unclassified

Order By: Relevance

“… 2017 , Pulijala et al. 2018 ). Various AR and MR devices are currently being tested, and data are convergeing toward the same results: procedure performance, and effectiveness as a learning tool.…”

Section: Discussionmentioning

confidence: 99%

Surgery guided by mixed reality: presentation of a proof of concept

Grégory

Sledge³

et al. 2018

Acta Orthopaedica

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Surgery guided by mixed reality: presentation of a proof of concept

Grégory

Sledge³

et al. 2018

Acta Orthopaedica

View full text Add to dashboard Cite

“…On the other hand, a stereoscopic 3D videos using immersive reality was developed (Fig. 2) and its impact on improving the non-surgical skills among trainees was investigated [47]. Based on the 3D computer-generated model of the operating room the trainees can navigate, explore and interact with the digital images of the patient's data.…”

Section: Surgical Trainingmentioning

confidence: 99%

The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery

Ayoub¹,

Pulijala²

2019

BMC Oral Health

Self Cite

244

119

View full text Add to dashboard Cite

Background: Virtual reality is the science of creating a virtual environment for the assessment of various anatomical regions of the body for the diagnosis, planning and surgical training. Augmented reality is the superimposition of a 3D real environment specific to individual patient onto the surgical filed using semi-transparent glasses to augment the virtual scene.. The aim of this study is to provide an over view of the literature on the application of virtual and augmented reality in oral & maxillofacial surgery. Methods: We reviewed the literature and the existing database using Ovid MEDLINE search, Cochran Library and PubMed. All the studies in the English literature in the last 10 years, from 2009 to 2019 were included. Results: We identified 101 articles related the broad application of virtual reality in oral & maxillofacial surgery. These included the following: Eight systematic reviews, 4 expert reviews, 9 case reports, 5 retrospective surveys, 2 historical perspectives, 13 manuscripts on virtual education and training, 5 on haptic technology, 4 on augmented reality, 10 on image fusion, 41 articles on the prediction planning for orthognathic surgery and maxillofacial reconstruction. Dental implantology and orthognathic surgery are the most frequent applications of virtual reality and augmented reality. Virtual planning improved the accuracy of inserting dental implants using either a statistic guidance or dynamic navigation. In orthognathic surgery, prediction planning and intraoperative navigation are the main applications of virtual reality. Virtual reality has been utilised to improve the delivery of education and the quality of training in oral & maxillofacial surgery by creating a virtual environment of the surgical procedure. Haptic feedback provided an additional immersive reality to improve manual dexterity and improve clinical training. Conclusion: Virtual and augmented reality have contributed to the planning of maxillofacial procedures and surgery training. Few articles highlighted the importance of this technology in improving the quality of patients' care. There are limited prospective randomized studies comparing the impact of virtual reality with the standard methods in delivering oral surgery education.

show abstract

“…Augmented reality is employed in neurosurgery, laparoscopic digestive, laparoscopic thoracic, vascular, urological and gynecological laparoscopic and cardiac surgery. As per its application in maxillofacial surgery, most of the publications refer to its use in orthognathic surgery [13,19,20], Fig. 7 Postoperative implant position on CBCT Fig.…”

Section: Discussionmentioning

confidence: 99%

Augmented reality for dental implantology: a pilot clinical report of two cases

Pellegrino

Mangano

Mangano³

et al. 2019

BMC Oral Health

View full text Add to dashboard Cite

Background: Despite the limited number of articles dedicated to its use, augmented reality (AR) is an emerging technology that has shown to have increasing applications in multiple different medical sectors. These include, but are not limited to, the Maxillo-facial and Dentistry disciplines of medicine. In these medical specialties, the focus of AR technology is to achieve a more visible surgical field during an operation. Currently, this goal is brought about by an accurate display of either static or dynamic diagnostic images via the use of a visor or specific glasses. The objective of this study is to evaluate the feasibility of using a virtual display for dynamic navigation via AR. The secondary outcome is to evaluate if the use of this technology could affect the accuracy of dynamic navigation. Case presentation: Two patients, both needing implant rehabilitation in the upper premolar area, were treated with flapless surgery. Prior to the procedure itself, the position of the implant was virtually planned and placed for each of the patients using their previous scans. This placement preparation contributed to a dynamic navigation system that was displayed on AR glasses. This, in turn, allowed for the use of a computer-aided/image-guided procedure to occur. Dedicated software for surface superimposition was then used to match the planned position of the implant and the real one obtained from the postoperative scan. Accuracies, using this procedure were evaluated by way of measuring the deviation between real and planned positions of the implants. For both surgeries it was possible to proceed using the AR technology as planned. The deviations for the first implant were 0.53 mm at the entry point and 0.50 mm at the apical point and for the second implant were 0.46 mm at the entry point and 0.48 mm at the apical point. The angular deviations were respectively 3.05°and 2.19°. Conclusions: From the results of this pilot study, it seems that AR can be useful in dental implantology for displaying dynamic navigation systems. While this technology did not seem to noticeably affect the accuracy of the procedure, specific software applications should further optimize the results.

show abstract

Effectiveness of Immersive Virtual Reality in Surgical Training—A Randomized Control Trial

Abstract: iVR experiences improve the knowledge and self-confidence of the surgical residents.

Cited by 204 publications

References 19 publications

Surgery guided by mixed reality: presentation of a proof of concept

Surgery guided by mixed reality: presentation of a proof of concept

The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery

Augmented reality for dental implantology: a pilot clinical report of two cases

Contact Info

Product

Resources

About