Application of Mixed Reality Technology in Surgical Resection of Vestibular Schwannoma and Doctor-patient Communication

YANG Jipeng; LI Xiaotong; WANG Tongju; LI Chen; LI Zhaohui; HU Hongchao; SUN Xiaofeng

doi:10.3971/j.issn.1000-8578.2021.21.0407

Cancer Research on Prevention and Treatment > 2021 > 48(8): 788-793. > DOI: 10.3971/j.issn.1000-8578.2021.21.0407

YANG Jipeng, LI Xiaotong, WANG Tongju, LI Chen, LI Zhaohui, HU Hongchao, SUN Xiaofeng. Application of Mixed Reality Technology in Surgical Resection of Vestibular Schwannoma and Doctor-patient Communication[J]. Cancer Research on Prevention and Treatment, 2021, 48(8): 788-793. DOI: 10.3971/j.issn.1000-8578.2021.21.0407

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Application of Mixed Reality Technology in Surgical Resection of Vestibular Schwannoma and Doctor-patient Communication

1.
Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
2.
Department of Radiology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
3.
Department of Neurosurgery, Lincheng County People's Hospital, Xingtai 054300, China

Funding:

Key Research and Development Plan Project of Hebei Province Livelihood Science and Technology Special Project 20377703D

Hebei Provincial Department of Science and Technology-Hebei Medical University "Department-School Consultation Fund-Science and Technology Innovation" Project 2020TXJC03

More Information

Corresponding author:
SUN Xiaofeng, E-mail: 2shenjingwaike2017@163.com
Received Date: April 11, 2021
Revised Date: June 29, 2021
Available Online: January 12, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate application value and significance of mixed reality technology in surgical treatment and doctor-patient communication for vestibular schwannoma.
Methods
We selected randomly 13 vestibular schwannoma patients treated with surgical treatment. After the three-dimensional models were constructed, preoperative surgical planning and doctor-patient communication were performed with mixed reality technology. Craniotomy through retrosigmoid sinus approach, tumor resection and facial nerve protection were achieved intraoperatively with the assistance of mixed reality technology. Questionnaires were collected and facial nerve function of 13 patients was recorded one week after operation.
Results
Holographic model images of 13 cases were showed successfully using mixed reality technology. The locations of preoperative facial nerves reconstructed were completely consistent with actual locations in 10 cases (84.6%). After preoperative anatomic analysis, it was decided to remove partly the posterior wall of the internal auditory canal in 11 cases. The result of doctor-patient communication questionnaire showed that 13 patients and their family all had a thorough understanding of the condition, operative plan and risks, and expressed satisfaction with the preoperative conversation. With the assistance of mixed reality technology, the tumors were resected totally without injury of vein sinus in 13 cases. The facial nerve function was gradeⅠin 3 cases, gradeⅡin 6 cases, grade Ⅲ in 3 case and grade Ⅳ in 1 case based on House-Brackmann grading one week after surgery.
Conclusion
Mixed reality technology is quite helpful in individual surgical planning and preoperative doctor-patient communication. It helps reduce the side injuries of surgery and protect the function of facial nerve as a surgical assistant tool intraoperatively.
- Mixed reality,
- Acoustic neuroma,
- Surgery,
- Facial nerve

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Competing interests: The authors declare that they have no competing interests.

References (19)

References

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Application of Mixed Reality Technology in Surgical Resection of Vestibular Schwannoma and Doctor-patient Communication