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Volume 7, Issue 4 (Suppl)
Otolaryngology
ISSN: 2161-119X Otolaryngology, an open access journal
Aesthetic Medicine & ENT Conference 2017
July 06-08, 2017
July 06-08, 2017 Kuala Lumpur, Malaysia
International Conference on
Aesthetic Medicine and ENT
What is the future of minimally invasive sinus surgery: Computer assisted navigation, marker-based
virtual reality simulation or 3D-surgical planner with remote visualization, 3D-navigation and augmented
reality in the operating room?
Ivica Klapan
1,2,3
1
The School of Medicine University of Zagreb, Croatia
2
The Josip Juraj Strossmayer University of Osijek, Croatia
3
Klapan Medical Group Polyclinic, Croatia
D
o we need a new sinus surgery technique in a daily routine practice? Imagine that the perception system in humans could be
deceived, creating an impression of another external world where we can replace the true reality with the simulated reality
that enables precise/safer and faster diagnosis/surgery. Of course, we tried to understand the new, visualized virtual world (VW)
3 by creating an impression of virtual perception of the given position of all elements in the patient's head, which does not exist in
the real world. This approach was aimed at upgrading diagnostic workup and endoscopic surgery by ensuring a faster and safer
operative procedure, and represents a basis for realistic simulations, and can create an impression of immersion of a physician in a
non-existing virtual environment. Every ENT specialist will be able to provide VR support in implementing surgical procedures,
with additional correct control of all risks, without additional trauma, while having an impression of the presence in VW,
navigating through it and manipulating with virtual objects (3DCA-navigation). Furthermore, when the 3D-surface with tissues
arranged by objects is obtained, it is possible to derive spatial cross-sections at selected cutting planes, thus providing additional
insight into the internal regions observed (osirix/leap motion and NES-3D-volume rendering models). A tele-presence system
extends the operator’s sensory-motor facilities and problem solving abilities to a remote environment, providing the local
operator with necessary sensory information to simulate operator’s presence at the remote location (3D-surgical planner with
remote visualization). Generally speaking, fly-through techniques, which combine the features of endoscopic viewing and cross-
sectional volumetric imaging, provide more effective and safer endoscopic procedures (marker-based VR-simulation), and use
the corresponding cross-sectional image or multiplanar reconstructions to evaluate anatomical structures during the operation
(3Dnavigation& augmented reality in the OR).
telmed@mef.hrOtolaryngology 2017, 7:4 (Suppl)
DOI: 10.4172/2161-119X-C1-020