3D Technology for Head and Neck Surgery
Recruiting in Palo Alto (17 mi)
+6 other locations
Age: 18+
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: Academic
Waitlist Available
Sponsor: Memorial Sloan Kettering Cancer Center
No Placebo Group
Approved in 1 jurisdiction
Trial Summary
What is the purpose of this trial?The purpose of this study is to test how the new 3D technology can be used to help improve the surgeon's ability to use information from standard imaging scans to guide head and neck surgery. Researchers will use the Scaniverse app during a standard ultrasound to create 3D images of participants' head and neck before their standard surgery. Researchers will see if the creation of a 3D framework profile with superimposed standard imaging scan information can be useful to the surgeon for guiding head and neck surgery
What safety data exists for 3D technology in head and neck surgery?
The research indicates that 3D technology, including 3D CT and virtual surgical planning, has been used safely in head and neck surgeries, such as cranial-facial and laryngeal procedures, and in reconstructive surgeries. Studies show improvements in preoperative planning, operative efficiency, accuracy, and postoperative outcomes. The technology allows for precise surgical planning and execution, which can save operative time and improve results. It has been applied safely in both primary and secondary reconstructive cases, particularly in oncologic mandibular and maxillary reconstructions.
13478What data supports the idea that 3D Technology for Head and Neck Surgery is an effective treatment?
The available research shows that 3D Technology for Head and Neck Surgery is effective because it improves surgical planning and outcomes. For example, it helps surgeons better understand the location and size of problems, leading to more precise surgeries and better results. In cranial-facial and laryngeal surgeries, it saves time and improves recovery. Compared to traditional methods, 3D planning increases efficiency and accuracy, especially in complex surgeries like head and neck reconstruction. It also helps in planning dental implants and reconstructive surgeries, making the process more efficient and improving patient outcomes.
156810Is 3D technology a promising treatment for head and neck surgery?
Yes, 3D technology is a promising treatment for head and neck surgery. It helps doctors plan surgeries better by creating detailed 3D images of the area they will operate on. This makes surgeries more accurate, saves time, and can lead to better recovery for patients.
12389Do I have to stop taking my current medications for the trial?
The trial protocol does not specify whether you need to stop taking your current medications.
Eligibility Criteria
This trial is for individuals who require surgery for a head and neck disorder. Participants must be suitable candidates for standard imaging scans used to guide their upcoming surgeries.Inclusion Criteria
I am 18 years old or older.
I am scheduled for head or neck surgery at MSK.
Exclusion Criteria
I have had surgery or radiation therapy on my head or neck.
Participant Groups
The study is testing the effectiveness of using the Scaniverse app to create 3D images from standard ultrasound scans, which may help surgeons in planning and performing head and neck surgeries.
1Treatment groups
Experimental Treatment
Group I: Participants scheduled for head and neck surgeryExperimental Treatment2 Interventions
Participants are scheduled to undergo head and neck surgery in the Surgery Head and Neck Service at MSK
Find A Clinic Near You
Research locations nearbySelect from list below to view details:
Memorial Sloan Kettering at Basking Ridge (Consent Only)Basking Ridge, NJ
Memorial Sloan Kettering Westchester (Consent form)Harrison, NY
Memorial Sloan Kettering Monmouth (Consent only)Middletown, NJ
Memorial Sloan Kettering Bergen (Consent only)Montvale, NJ
More Trial Locations
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Who is running the clinical trial?
Memorial Sloan Kettering Cancer CenterLead Sponsor
References
3-D CT for cranial facial and laryngeal surgery. [2016]Three-dimensional imaging is a new digital technology which interpolates two-dimensional computer tomography information to render a "life-like" anatomic display of the diagnostic information. We have found that this new methodology significantly improves the assessment and therapy of patients undergoing surgical procedures of the head and neck. The technique has been used in cranial-facial and laryngeal pathology, and in preoperative planning of tumor resection, particularly skull-base neoplasms. The use of three-dimensional computer tomography improves the display of the location and volume of pathology and affords accurate therapeutic and surgical planning. The choice and extent of surgery is better defined, and precise bone removal can be performed. In reconstructive surgery, an accurate prefabricated model of the bony defect can be made to aid reconstruction. Representative cases demonstrating the use of three-dimensional computer tomography in head and neck surgery, and its benefits in saving operative time and improving the postoperative result, will be discussed.
[Three-dimensional visualization for preoperative planning and evaluation in head and neck surgery]. [2009]There are a lot of diagnostic possibilities for the preoperative planning in head and neck surgery. So far, no study was performed to evaluate if there is an advantage of three-dimensional visualization compared to conventional computed tomography yet. Additionally, there are no specifications for such a visualization prior surgery in head and neck surgery. This work describes different possibilities for segmentation and three-dimensional visualization for preoperative planning in head and neck surgery and tumor volumetry compared to conventional computed tomography. We describe new techniques and specifications for three-dimensional visualization.
Adjunctive use of medical modeling for head and neck reconstruction. [2022]To review the developing role of three-dimensional medical modeling in head and neck reconstruction surgery.
Impact of 3D virtual planning on reconstruction of mandibular and maxillary surgical defects in head and neck oncology. [2022]This review describes the advances in 3D virtual planning for mandibular and maxillary reconstruction surgical defects with full prosthetic rehabilitation. The primary purpose is to provide an overview of various techniques that apply 3D technology safely in primary and secondary reconstructive cases of patients suffering from head and neck cancer.
Evaluation of the Accuracy of Virtual Planning in Orthognathic Surgery: A Morphometric Study. [2019]The purpose of this study was to prospectively test the accuracy of computer-aided orthognathic surgery comparing the virtual surgical planning with the three-dimensional (3D) outcome.
Virtual surgical planning in fibula free flap head and neck reconstruction: A systematic review and meta-analysis. [2022]The traditional approach to head and neck reconstruction is considered challenging, requiring a subjective assessment of an often-complex defect followed by careful modelling of a bony flap to match this. The introduction of Virtual Surgical Planning (VSP) has provided the surgeon with a means to increase efficiency, precision and overall patient outcomes. This study aims to compare VSP and traditional head and neck reconstructions utilising fibula free flaps with regards surgical efficiency and patient outcomes.
Clinical evaluation of an automated virtual surgical planning platform for mandibular reconstruction. [2021]Virtual surgical planning (VSP), via commercial services or developed in-house, has been applied to facilitate head and neck reconstruction. We evaluate a custom, automated planning software.
Virtual Surgical Planning for Oncologic Mandibular and Maxillary Reconstruction. [2022]Virtual surgical planning (VSP) with computer-aided design and computer-aided modeling (CAD/CAM) enables the opportunity to provide personalized medicine in complex head and neck reconstruction. This innovative technology allows ablative and reconstructive surgeons to virtually create and manipulate three-dimensional anatomic models to plan both the resection and reconstruction of complicated maxillofacial defects. Studies demonstrate improvements in preoperative planning, operative efficiency and accuracy, and postoperative outcomes. VSP facilitates immediate dental implantation in selected patients, which can improve the likelihood of achieving dental restoration. This article outlines strategies for technique optimization as well as the applications, advantages and disadvantages of VSP in complex oncologic head and neck reconstruction.
The role of simulator and digital technologies in head and neck reconstruction. [2022]This review summarizes the development of digital technology in the field of head and neck surgeries. Advances in digital technology assist surgeons during preoperative planning, where they can simulate their surgeries with improvement in the resulting accuracy of the surgery. In addition to digital technologies having many applications in the surgical field, they can be used in medical devices, surgical and educational models, and tissue engineering.
[Innovative methods and developments in oral care. 3D planning in oral and maxillofacial surgery]. [2023]With the use of cone beam computed tomography, intraoral scanning and 3D stereophotogrammetry, a virtual 3D head model of a patient can be reconstructed with image fusion. In this way, the malposition, deficiency and other anomalies at the level of bone, dentition and soft tissue can be quantified objectively. The desired position of the dentition, occlusion and soft tissue in the facial profile can be virtually drawn in and used as a guideline for treatment planning. Based on the principle of backward planning, it is possible to determine what repositioning of the jaw is required, where there is a need for bone augmentation and how many dental implants are necessary to obtain the desired treatment outcome. From this perspective, 3D treatment planning has become a treatment standard for the 4 clinical pillars supporting oral and maxillofacial surgery, specifically orthognathic surgery, implantology, craniofacial surgery and head & neck oncology. 3D planning has influenced today's workflow, planning of complex surgery and contributed to useful further innovations and efficient healthcare.