Augmented Reality in Plastic Surgery Education

Document Type : Review Article

Author

Additional Professor and HOD Department of Burn and Plastic Surgery, AIIMS Rishikesh, India

Abstract

Background: Mixed reality devices have made a big
impact on the medical profession by creating a virtual world.
Visual perception methods and 3D Touch can be used in
teaching institutions to import knowledge and help perform
plastic surgery easily.
Methods: This study has been done to evaluate the systematic
scoping review and merits of Aumented Reality
Technology in Plastic Surgery for 3 years in the Department
of Burn and Plastic Surgery in All India Institute of Medical
Sciences, Rishikesh using PubMed Ovid and Google Scholar.
This is a review to compare the advent and utility of mixed
reality platforms in plastic surgery in the world by searching
the PubMed database.
Results: The records of 55 articles could be retrieved in
plastic surgery from Pubmed and Ovid database. 26 were
review articles, 10 were on haptic devices, 13 on 3D printing,
15 case reports, and one randomized controlled trial. Haptic
devices are a part of training skills such as bone drilling,
burring, and cutting. Education is enhanced by virtual reality
platforms incorporating learning soft tissue skills with haptic
devices.
Conclusion: Technological advancement in imaging modalities
provides a convenient way of teaching anatomy,
mapping of perforators to design flaps, and perform virtual
osteotomies. Virtual consoles can be designed to teach endoscopic
plastic surgery with 3D scanning.

Glenn I.C., Bruns N.E., Hayek D., et al.: Rural surgeons
would embrace surgical telementoring for help with
difficult cases and acquisition of new skills. Surg. Endosc.,
31: 1264-1268, 2017.
2- Mitsumo D., Ueda K., Itamiya T., Nuri T. and Otsuki Y.:
Intraoperative Evaluation of Body Surface Im-provement
by an Augmented Reality System That a Clinician Can
Modify PRS Gl Open, 5 (8): e1432, 2017.
3- Nair L., Patel B.S. and Patel A.: Mixed Reality in Plastic
Surgery: A Primer PRS, 142 (4): 612e-613e, 2018.
4- Tepper O.M., Rudy H.L., Lefkowitz A., et al.: Mixed
reality with HoloLens: Where virtual reality meets augmented
reality in the operating room. Plast. Reconstr.
Surg., 140: 1066-1070, 2017.
5- Nishimoto S., Tonooka M., Fujita K., Satsuma Y., Fujiwara
T., Kawai K. and Kakibuchi M.: An augmented reality
system in lymphatico-venous anastomosis surgery J. Surg.
Case Rep., May 6; 2016 (5): 047, 2016.
24 Vol. 45, No. 1 / Augmented Reality in Plastic Surgery Education
6- Shi Y., Lin L., Zhou C., Zhu M., Xie L. and Chai G.A.:
Study of an assisting robot for mandible plastic surgery
based on augmented reality. Minim Invasive Ther. Allied
Technol. Feb., 26 (1): 23-30, 2017.
7- Smith D.M.: Commentary On: The New Frontier: A
Review of Augmented Reality and Virtual Reality in
Plastic Surgery Aesthet. Surg. J. Aug., 22; 39 (9): 1017-
1018, 2019.
8- Kim Y., Kim H. and Kim Y.O.: Virtual Reality and Augmented
Reality in Plastic Surgery: A Review Arch. Plast.
Surg., 44 (3): 179-187, 2017.
9- Badiali G., Ferrari V., Cutely F., et al.: Augmented reality
as an aid in maxillofacial surgery: validation of a wearable
system allowing maxillary repositioning. J. Craniomaxillofac.
Surg., 42: 1970-6, 2014.
10- Mischkowski R.A., Zinser M.J., Kubler A.C., et al.:
Application of an augmented reality tool for maxillary
positioning in orthognathic surgery: A feasibility study.
J. Craniomaxillofac. Surg., 34: 478-83, 2006.
11- Cifuentes I.J., Dagnino B.L., Salisbury M.C., Perez M.E.,
Ortega C. and Maldonado D.: Augmented Reality and
Dynamic Infrared Thermography for Perforator Mapping
in the Anterolateral Thigh Arch. Plast. Surg. May, 45 (3):
284-288, 2018.
12- Ma M., Fallavollita P., Seelbach I., et al.: Personalized
augmented reality for anatomy education. Clin. Anat.,
29: 446-453, 2016.
13- Al-Noury K.: Virtual reality simulation in ear microsurgery:
a pilot study. Indian J. Otolaryngol. Head Neck Surg.,
64: 162-166, 2012.
14- Mezzana P., Scarinci F. and Marabottini N.: Augmented
reality in oculoplastic surgery: First iPhone application.
Plast. Reconstr. Surg., 127: 57e-58e, 2011.
15- Zhu M., Chai G., Lin L., et al.: Effectiveness of a novel
augmented reality-based navigation system in treatment
of orbital hypertelorism. Ann. Plast. Surg., 77: 662-668,
2016.
16- Kamali P., Dean D., Skoracki R., et al.: The current role
of three-dimensional (3D) printing in plastic surgery.
Plast. Reconstr. Surg., 137: 1045-1155, 2016.
17- Hondori H.M., Khademi M., McKenzie A., Dodakian C.,
Lopes C.V. and Cramer S.C.: Utility of augmented reality
in relation to virtual reality in stroke rehabilitation Stroke,
45 (1): 1-5, 2014.
18- Sayadi et al.: The New Frontier: A Review of Augmented
Reality and Virtual Reality in Plastic Surgery Aes. Surg.
J., 39 (9): 1007-1016, 2019.
19- Maliha S.G., Diaz-Siso J.R., Plana N.M., Torrie A. and
Flores R.L.: Haptic, physical and web-based simulators:
Are they underused in maxillary surgery training. J. Oral
Maxillofac. Surg., 76 (11): 2424.e1-2424.e11, 2018.
20- Kamali P., Dean D., Skoracki R., et al.: The current role
of three-dimensional printing in plastic surgery. Plast.
Reconstr. Surg., 137: 1045-1055, 2016.
21- Azuma M., Yanagawa T., Ishibashi-Kanno N., et al.:
Mandibular reconstruction using plates prebent to fit rapid
prototyping 3-dimensional printing models ameliorates
contour deformity. Head Face Med., 10: 45, 2014.
Egypt, J. Plast. Reconstr. Surg., January 2021 25
22- Shenaq D.S.: Matures Virtual planning and navigational
technology in reconstructive surgery J. Surg. Oncol. Oct.,
118 (5): 845-852, 2018.
23- Lo S., Abaker A.S.S., Quondamatteo F., Clancy J., Rea
P., Marriott M. and Chapman P.: Use of a virtual 3D
anterolateral thigh model in medical education: Augmentation
and not replacement of traditional teaching? J.
Plast. Reconstr. Aesthet. Surg., 73 (2): 269-75, 2020.
24- Wu F., Chen X., Lin Y., et al.: A virtual training system
for maxillofacial surgery using advanced haptic feedback
and immersive workbench. Int. J. Med. Robot, 10: 78-
87, 2014.