Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap

Objective To explore the clinical application value of mixed reality technology in locating perforator vessels and assisting perforator vessel dissection to harvest anterolateral thigh flaps. Methods Six patients who needed anterolateral thigh flap repair after resection of oral and maxillofacial tu...

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Autores principales: YUAN Zongyi, MING Huawei, ZHANG Xing’an, HAN Xinsheng, WANG Huadong, LI Ting, CHEN Fangyuan, TAN Xiaoyao
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Publicado: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2022
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spelling oai:doaj.org-article:d3a571c57af54784998ec73b500f56112021-11-23T07:05:46ZClinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap10.12016/j.issn.2096-1456.2022.01.0082096-1456https://doaj.org/article/d3a571c57af54784998ec73b500f56112022-01-01T00:00:00Zhttp://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.01.008https://doaj.org/toc/2096-1456Objective To explore the clinical application value of mixed reality technology in locating perforator vessels and assisting perforator vessel dissection to harvest anterolateral thigh flaps. Methods Six patients who needed anterolateral thigh flap repair after resection of oral and maxillofacial tumors were recruited from the Department of Oral and Maxillofacial Surgery of Nanchong Central Hospital from January 2020 to January 2021. Before surgery, the CT angiography data of the lower limbs of the patients carrying the calibration points were imported into the data workstation to perform 3D reconstruction of the perforator vessels and surrounding tissues of the thigh, and the reconstruction results were imported into Microsoft HoloLens 2 glasses. During the operation, calibration was performed at the calibration point of the operative area so that the preoperative reconstruction results were superimposed on the operative area through Microsoft HoloLens 2 glasses. The clinical application value of mixed reality technology assisted perforator vessel location and anatomy of anterolateral femoral perforator flap was discussed from six aspects: whether the perforator vessel was reconstructed preoperatively, intraoperative calibration time, whether the actual position of the perforating vessels passing through the fascia lata fulcrum deviated from the preoperative reconstruction result within 1 cm, time required to harvest the flap, and whether the actual route of the perforator vessel was consistent with the reconstruction result, and whether the postoperative flap survived. Results The position and course of perforating vessels were successfully reconstructed in 6 cases before the operation. The actual course of perforating vessels during the operation was consistent with the reconstruction results. The deviation between the actual position of the perforating points and the preoperative reconstruction results was within 1 cm, which met the requirements of the actual asisting of the anterolateral thigh flap. The average time of flap harvest was (70.50 ± 7.20) min. The average calibration time was (13.33 ± 5.50) min. All flaps survived. Conclusions Mixed reality technology projects the reconstruction results of anterolateral femoral perforator vessels directly into the operative area, which provides a new method for asisting localization and anatomy of anterolateral femoral flap perforator vessels and reduces the possibility of injury to perforator vessels.YUAN ZongyiMING HuaweiZHANG Xing’anHAN XinshengWANG HuadongLI TingCHEN FangyuanTAN XiaoyaoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseasesarticleanterolateral thigh flapperforating vesselsperforators flapsurgery navigationvirtual surgerymixed reality techniquecalibration pointoral malignancyoral and maxillofacial tissue defectsreconstructionMedicineRZH口腔疾病防治, Vol 30, Iss 1, Pp 45-50 (2022)
institution DOAJ
collection DOAJ
language ZH
topic anterolateral thigh flap
perforating vessels
perforators flap
surgery navigation
virtual surgery
mixed reality technique
calibration point
oral malignancy
oral and maxillofacial tissue defects
reconstruction
Medicine
R
spellingShingle anterolateral thigh flap
perforating vessels
perforators flap
surgery navigation
virtual surgery
mixed reality technique
calibration point
oral malignancy
oral and maxillofacial tissue defects
reconstruction
Medicine
R
YUAN Zongyi
MING Huawei
ZHANG Xing’an
HAN Xinsheng
WANG Huadong
LI Ting
CHEN Fangyuan
TAN Xiaoyao
Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
description Objective To explore the clinical application value of mixed reality technology in locating perforator vessels and assisting perforator vessel dissection to harvest anterolateral thigh flaps. Methods Six patients who needed anterolateral thigh flap repair after resection of oral and maxillofacial tumors were recruited from the Department of Oral and Maxillofacial Surgery of Nanchong Central Hospital from January 2020 to January 2021. Before surgery, the CT angiography data of the lower limbs of the patients carrying the calibration points were imported into the data workstation to perform 3D reconstruction of the perforator vessels and surrounding tissues of the thigh, and the reconstruction results were imported into Microsoft HoloLens 2 glasses. During the operation, calibration was performed at the calibration point of the operative area so that the preoperative reconstruction results were superimposed on the operative area through Microsoft HoloLens 2 glasses. The clinical application value of mixed reality technology assisted perforator vessel location and anatomy of anterolateral femoral perforator flap was discussed from six aspects: whether the perforator vessel was reconstructed preoperatively, intraoperative calibration time, whether the actual position of the perforating vessels passing through the fascia lata fulcrum deviated from the preoperative reconstruction result within 1 cm, time required to harvest the flap, and whether the actual route of the perforator vessel was consistent with the reconstruction result, and whether the postoperative flap survived. Results The position and course of perforating vessels were successfully reconstructed in 6 cases before the operation. The actual course of perforating vessels during the operation was consistent with the reconstruction results. The deviation between the actual position of the perforating points and the preoperative reconstruction results was within 1 cm, which met the requirements of the actual asisting of the anterolateral thigh flap. The average time of flap harvest was (70.50 ± 7.20) min. The average calibration time was (13.33 ± 5.50) min. All flaps survived. Conclusions Mixed reality technology projects the reconstruction results of anterolateral femoral perforator vessels directly into the operative area, which provides a new method for asisting localization and anatomy of anterolateral femoral flap perforator vessels and reduces the possibility of injury to perforator vessels.
format article
author YUAN Zongyi
MING Huawei
ZHANG Xing’an
HAN Xinsheng
WANG Huadong
LI Ting
CHEN Fangyuan
TAN Xiaoyao
author_facet YUAN Zongyi
MING Huawei
ZHANG Xing’an
HAN Xinsheng
WANG Huadong
LI Ting
CHEN Fangyuan
TAN Xiaoyao
author_sort YUAN Zongyi
title Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
title_short Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
title_full Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
title_fullStr Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
title_full_unstemmed Clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
title_sort clinical application of the mixed reality technique to assist the location and anatomy of perforator vessels of the anterolateral femoral flap
publisher Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
publishDate 2022
url https://doaj.org/article/d3a571c57af54784998ec73b500f5611
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