[Augmented reality in surgery for craniosynostosis in children].

Q4 Medicine
L A Satanin, A A Artemyev, A N Konovalov, A V Sakharov, D N Okishev, T Yu Abzalov, I A Erokhin, S S Sergeeva, V A Tere, N A Azarova, E S Burkhan, S K Gorelyshev
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引用次数: 0

Abstract

Augmented reality (AR) is a new tool in surgical treatment of craniofacial deformities, in particular, craniosynostosis.

Objective: To clarify the indications for AR navigation system, technical capabilities of system, its advantages and disadvantages in surgery for craniosynostosis in children, as well as to compare these findings with literature data.

Material and methods: In 2025, nine consecutive surgical interventions were performed using this method in patients with craniosynostosis at the Burdenko Neurosurgery Center. There were 7 boys (78%) and 2 girls (22%) aged 38.8 ± 54.7 (7-156) months.

Results: AR navigation allowed us to simulate results of preoperative virtual planning in reconstructive procedures. This ensured accuracy of interventions. AR navigation localized intracranial structures, such as endostoses and venous sinuses, whose visualization made surgery safer. This technique was valuable to mark craniotomy lines, control distraction device position and bone fragments, and assess conformity of final reconstruction with scheduled one. Preoperative modeling took 173.3±61.4 (90-240) min. Overall intraoperative time spent for AR navigation was 33.9±15.6 (15-60) min.

Conclusion: The augmented reality system appears to be perspective in surgery for craniosynostosis enabling real time intraoperative neuronavigation. Further development of augmented reality techniques in craniosynostosis surgery will improve outcomes and make results more predictable and safe.

[增强现实在儿童颅缝闭锁手术中的应用]。
增强现实技术(AR)是颅面畸形,特别是颅缝闭锁手术治疗的新工具。目的:明确AR导航系统的适应证、系统的技术性能、在儿童颅缝闭锁手术中的优缺点,并与文献资料进行比较。材料和方法:2025年,在Burdenko神经外科中心使用该方法对颅缝闭锁患者进行了9次连续手术干预。男7例(78%),女2例(22%),年龄38.8±54.7(7-156)个月。结果:AR导航使我们能够在重建过程中模拟术前虚拟规划的结果。这确保了干预措施的准确性。AR导航定位颅内结构,如内窥镜和静脉窦,其可视化使手术更安全。该技术对标记开颅线,控制牵张器位置和骨碎片,评估最终重建与计划重建的一致性具有重要价值。术前建模时间为173.3±61.4(90-240)分钟,术中AR导航总时间为33.9±15.6(15-60)分钟。结论:增强现实系统在颅缝闭闭手术中实现实时神经导航是有价值的。增强现实技术在颅缝闭合手术中的进一步发展将改善结果,使结果更可预测和安全。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
75
期刊介绍: Scientific and practical peer-reviewed journal. This publication covers the theoretical, practical and organizational problems of modern neurosurgery, the latest advances in the treatment of various diseases of the central and peripheral nervous system. Founded in 1937. English version of the journal translates from Russian version since #1/2013.
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