AI Article Synopsis

  • A study was conducted to evaluate the use of mixed reality (MR) technology, specifically the HoloLens, for assisting in Baha Attract implant surgeries by visualizing essential structures for better precision.
  • The research involved a cadaveric case study where surgeons successfully performed bilateral Baha Attract implants, and the accuracy of the MR guidance was assessed using target registration error (TRE) measurements.
  • The results indicated that the MR system improved the accuracy of implant placement, showing a median TRE of 2.97 mm and suggesting potential benefits in surgical confidence, safety, efficiency, and precision.

Article Abstract

Objective: To test the feasibility of image-guided Baha Attract implant surgery with mixed reality (MR) in the form of the HoloLens to visualize critical structures and facilitate precise Baha implant placement.

Methods: A cadaveric case study of bilateral Baha Attract implant approaches was conducted using Star Atlas MR three-dimensional (3D) medical interaction system guidance at the Otolaryngology Department of PUMCH, Beijing, China. The accuracy of visual surface registration was determined by the target registration error (TRE) between the predefined points on the preoperative 3D holographic Baha Attract implant model and the postoperatively reconstructed 3D model.

Results: Bilateral Baha Attract implantation was completed successfully for all four cadaveric heads using the Star Atlas MR 3D medical interaction system with the HoloLens. The preoperative 3D digital model characteristics (including bone quality and thickness and avoidance of cranial vessels, air cells, and cranial sutures) corresponded well with the 3D model of the actual implantation reconstructed postoperatively. The median TRE of our system was 2.97 mm (ranging from 1.98 to 4.58 mm) in terms of distance and 2.76 degrees (ranging from 0.59 to 6.4 degrees) in terms of angle.

Conclusions: Applying MR technology in the form of the HoloLens in Baha Attract implant surgery is feasible and could improve the accuracy of the surgery. The described MR system for Baha Attract implantation has the potential to improve the surgeon's confidence, as well as the surgical safety, efficiency, and precision.

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Source
http://dx.doi.org/10.1097/MAO.0000000000002749DOI Listing

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