Towards a Virtual Reality Simulator for Orthognathic Basic Skils

Abstract:

Bone sawing skill demands a high level of dexterity from the surgeon that can be achieved only with a lot of training. Sawing is a basic skill required in many procedures, such as: osteotomy, ostectomy, amputation and arthroplasty surgery. Inefficient sawing can lead in orthognathic surgery to nerve lesion, bad split and non-union. Using virtual reality technology this complications can be reduced, by training the students on simulators until they assimilate the skill. This paper presents an early prototype for a bone sawing simulator in orthognathic surgery. A voxel-based mandible model obtained from a Computer Tomography is cut by removing the voxels that are inside the saw blade. The collision detection is based on hierarchical bounding volumes. The removal process is observed both visually and haptically.

• Periodical: Applied Mechanics and Materials (Volume 162)
• Pages: 352-357
• DOI: https://doi.org/10.4028/www.scientific.net/AMM.162.352
• Online since: March 2012
• Authors: Raluca Elena Sofronia, Arjana Davidescu, George Gustav Savii
• Keywords: Bone Sawing, Haptics, Medical Simulators, Orthognathic Surgery, Virtual Reality (VR)

References

[1] Information on http: /herkules. oulu. fi/isbn9514267508/isbn9514267508. pdf.

[2] A.G. Gallagher, E.M. Ritter, H. Champion, G. Higgins, M.P. Fried, G. Moses, C.D. Smith, R.M. Satava, Virtual reality simulation for the operating room: proficiency-based training as a paradigm shift in surgical skills training, Ann surg, 241 (2005).

DOI: 10.1097/01.sla.0000151982.85062.80

[3] Y. Aoki, S. Hashimoto, M. Terajima, A. Nakasima, Simulation of postoperative 3D facial morphology using a physics-based head model, The Visual Computer, 17 (2001) 121-131.

DOI: 10.1007/pl00013401

[4] J. Xia, H.H.S. Ip, N. Samman, H.T.F. Wong, J. Gateno, D. Wang, R.W.K. Yeung, C.B.S. Kot, H. Tideman, Three-dimensional virtual-reality surgical planning and soft-tissue prediction for orthognathic surgery, IEEE Trans Inf Technol Biomed, 5 (2001).

DOI: 10.1109/4233.924800

[5] T. Sohmura, H. Hojo, M. Nakajima, K. Wakabayashi, M. Nagao, S. Iida, T. Kitagawa, M. Kogo, T. Kojima, K. Matsumura, T. Nakamura, J. Takahashi, Prototype of simulation of orthognathic surgery using a virtual reality haptic device. Int J Oral Maxillofac Surg, 33 (2004).

DOI: 10.1016/j.ijom.2004.03.003

[6] D. Morris, S. Girod, F. Barbagli, K. Salisbury K, An Interactive Simulation Environment for Craniofacial Surgical Procedures, Health Technol Inform, 111 (2005) 334-341.

[7] N. Kusumoto, T. Sohmura, S. Yamada, K. Wakabayashi, T. Nakamura, H. Yatani, Application of virtual reality force feedback haptic device for oral implant surgery, Clin Oral Impl Res, 17 (2006) 708–713.

DOI: 10.1111/j.1600-0501.2006.01218.x

[8] K. Kim, J. Park, Virtual Bone Drilling for Dental Implant Surgery Training, Proceedings of the 16th ACM Symposium on Virtual Reality Software and Technology, Kyoto, Japan, (2009) 91-94.

DOI: 10.1145/1643928.1643950

[9] J. Forsslund, E.L. Sallnas, K.J. Palmerius, A user-centered designed FOSS implementation of bone surgery simulations, Joint Eurohaptics Conf Symp Haptic Interfaces Virtual Environ Teleoper Syst, (2009) 391-392.

DOI: 10.1109/whc.2009.4810916

[10] Q. Wang, H. Chen, J.H. Wu, Y.J. Peng, P.W. Sang, P.A. Heng, Dynamic Touch-enable Bone Drilling Interaction, Proceedings of the 5th International Conference on Information Technology and Application in Biomedicine, in conjunction with The 2nd International Symposium & Summer School on Biomedical and Health Engineering, Shenzhen, China, (2008).

DOI: 10.1109/itab.2008.4570581

[11] D. Morris, C. Sewell, N. Blevins, F. Barbagli, K. Salisbury, A Collaborative Virtual Environment for the Simulation of Temporal Bone Surgery, Medical Image Computing and Computer-Assisted Intervention – MICCAI 2004, (2004) 319-327.

DOI: 10.1007/978-3-540-30136-3_40

[12] M. Agus, Haptic and Visual Simulation of Bone Dissection, PhD. thesis, Universita degli Studi di Cagliari, Italy, (2004).

[13] A. Petersik, B. Pflesser, U. Tiede, K.H. Hӧhne, R. Leuwer, Realistic Haptic Interaction in Volume Sculpting for Surgery Simulation, Comput Biol Med, 37 (2007) 1709 – 1718.

DOI: 10.1007/3-540-45015-7_19

[14] M.S. Hsieh, M.D. Tsai, Y.D. Yeh, An Amputation Simulator with Bone Sawing Haptic Interaction, Biomed Eng Appl Basis Comm, 18 (2006) 229-236.

DOI: 10.4015/s1016237206000361

[15] M.D. Tsai, M.S. Hsieh, C.H. Tsai, Bone drilling haptic interaction for orthopedic surgical simulator, Comput Biol Med, 37 (2007) 1709-1718.

DOI: 10.1016/j.compbiomed.2007.04.006

[16] M. Arbabtafti, M. Moghaddam, A. Nahvi, M. Mahvash, B. Richardson, Physics-Based Haptic Simulation of Bone Machining, IEEE Transaction on Haptics, 4 (2011) 39-50.

DOI: 10.1109/toh.2010.5

[17] M. Eriksson, H. Flemmer, J. Wikander, A Haptic and Virtual Reality Temporal Bone Surgery Simulator, Submitted to Advanced Robotics March (2005).

[18] S.B. Issenberg, W.C. McGaghie, E.R. Petrusa, D. Lee Gordon, R.J. Scalese, Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review, Med Teach, 27 (2005) 10-28.

DOI: 10.1080/01421590500046924

[19] P.A. Yushkevich, J. Piven, H.C. Hazlett, R.G. Smith, S. Ho, J.C. Gee, G. Gerig, User-guided 3D active contour segmentation of anatomical structures: Significantly improved efficiency and reliability, Neuroimage, 31 (2006) 1116-1128.

DOI: 10.1016/j.neuroimage.2006.01.015