Augmented reality in surgery for craniosynostosis in children

Authors:

Леонид Александрович Сатанин,

Антон Алексеевич Артемьев,

Антон Николаевич Коновалов,

Александр Владимирович Сахаров,

Дмитрий Николаевич Окишев,

Тимур Юрьевич Абзалов,

Иван Алексеевич Ерохин,

София Станиславовна Сергеева,

Валентина Андреевна Тере,

Надежда Алексеевна Азарова,

Екатерина Сергеевна Бурхан,

Сергей Кириллович Горелышев

Журнал: Вопросы нейрохирургии имени Н.Н. Бурденко. 2026;90(3):28-36.

DOI: 10.17116/neiro20269003128

Read: 1395 раз

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Abstract

Augmented reality (AR) is a new tool in surgical treatment of craniofacial deformities, in particular, craniosynostosis.

OBJECTIVE

To clarify the indications for AR navigation system, technical capabilities of system, its advantages and disadvantages in surgery for craniosynostosis in children, as well as to compare these findings with literature data.

MATERIAL AND METHODS

In 2025, nine consecutive surgical interventions were performed using this method in patients with craniosynostosis at the Burdenko Neurosurgery Center. There were 7 boys (78%) and 2 girls (22%) aged 38.8 ± 54.7 (7—156) months.

RESULTS

AR navigation allowed us to simulate results of preoperative virtual planning in reconstructive procedures. This ensured accuracy of interventions. AR navigation localized intracranial structures, such as endostoses and venous sinuses, whose visualization made surgery safer. This technique was valuable to mark craniotomy lines, control distraction device position and bone fragments, and assess conformity of final reconstruction with scheduled one. Preoperative modeling took 173.3±61.4 (90—240) min. Overall intraoperative time spent for AR navigation was 33.9±15.6 (15—60) min.

CONCLUSION

The augmented reality system appears to be perspective in surgery for craniosynostosis enabling real time intraoperative neuronavigation. Further development of augmented reality techniques in craniosynostosis surgery will improve outcomes and make results more predictable and safe.

Keywords

augmented reality
AR navigation
craniosynostosis
templates
guides

Дата поступления: 27.02.2025

Дата принятия в печать: 12.03.2026

Дата публикации: 25.05.2026

References

Roginsky VV, Khachatryan VA, Satanin LA, Kim AV, Ivanov VP, Samochernykh KA, Solonichenko VG, Glagolev NV, Zemlyanikin VV, Ivanov AL, Kabanyan AB, Letyagin GV, Pak OI, Semenova ZhB, Timershin AG, Shamkhalov HSh, Sakharov AV, Iova AS. Topical issues of diagnosis and surgical treatment of children with craniosynostoses. Neurosurgery and Neurology of childhood. 2019;59(1):56-74. (In Russ.).
Andrew TW, Baylan J, Mittermiller PA, Cheng H, Johns DN, Edwards MSB, Cheshier SH, Grant GA, Lorenz HP. Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair. Plastic and Reconstructive Surgery — Global Open. 2018;6(12):e2038. https://doi.org/10.1097/GOX.0000000000002038
Rakityansky MM, Satanin LA, Ivanov AL, Rudnev SG, Sakharov AV, Duvidzon VG, Semushin MA, Burkhan ES, Roginsky VV. Computer-assisted planning and modeling for the surgical treatment of patients with fibrous dysplasia of cranial vault and base. Burdenko’s Journal of Neurosurgery. 2025;89(2):29-38. (In Russ., In Engl.). https://doi.org/10.17116/neiro20258902129
Salokorpi N, Satanin L, Teterin I, Sinikumpu JJ, Serlo W. Posterior vault distraction technique: how I do it. Child’s Nervous System. 2021;37(10):3127-3136. https://doi.org/10.1007/s00381-021-05203-x
Konovalov AN, Okishev DN, Pilipenko YuV, Eliava ShSh, Artemyev AA, Ivanov VM, Smirnov AYu, Strelkov SV. Augmented reality as a method of neuronavigation in microsurgical treatment of cerebrovascular diseases: description of the method and clinical experience. Burdenko’s Journal of Neurosurgery. 2025;89(1):37-45. (In Russ., In Engl.). https://doi.org/10.17116/neiro20258901137
Sharma D, Holden AM, Nezamivand-Chegini S. Augmented Reality Integration in Surgery for Craniosynostoses: Advancing Precision in the Management of Craniofacial Deformities. Journal of Clinical Medicine. 2025;14(12):4359. https://doi.org/10.3390/jcm14124359
Coelho G, Rabelo NN, Vieira E, Mendes K, Zagatto G, Santos de Oliveira R, Raposo-Amaral CE, Yoshida M, de Souza MR, Fagundes CF, Teixeira MJ, Figueiredo EG. Augmented reality and physical hybrid model simulation for preoperative planning of metopic craniosynostosis surgery. Neurosurgical Focus. 2020;48(3):E19. https://doi.org/10.3171/2019.12.FOCUS19854
Kaplan N, Marques M, Scharf I, Yang K, Alkureishi L, Purnell C, Patel P, Zhao L. Virtual Reality and Augmented Reality in Plastic and Craniomaxillofacial Surgery: A Scoping Review. Bioengineering. 2023;10(4):480. https://doi.org/10.3390/bioengineering10040480
Mischkowski RA, Zinser MJ, Kübler AC, Krug B, Seifert U, Zöller JE. Application of an augmented reality tool for maxillary positioning in orthognathic surgery - a feasibility study. Journal of Cranio-Maxillofacial Surgery. 2006;34(8):478-483. https://doi.org/10.1016/j.jcms.2006.07.862
Cercenelli L, Carbone M, Condino S, Cutolo F, Marcelli E, Tarsitano A, Marchetti C, Ferrari V, Badiali G. The Wearable VOSTARS System for Augmented Reality-Guided Surgery: Preclinical Phantom Evaluation for High-Precision Maxillofacial Tasks. Journal of Clinical Medicine. 2020;9(11):3562. https://doi.org/10.3390/jcm9113562
Imahiyerobo TA, Valenti AB, Guadix S, LaValley M, Asadourian PA, Buontempo M, Souweidane M, Hoffman C. The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis. Plastic and Reconstructive Surgery — Global Open. 2024;12(1):e5524. https://doi.org/10.1097/GOX.0000000000005524
Chegini S, Edwards E, McGurk M, Clarkson M, Schilling C. Systematic review of techniques used to validate the registration of augmented-reality images using a head-mounted device to navigate surgery. British Journal of Oral and Maxillofacial Surgery. 2023;61(1):19-27. https://doi.org/10.1016/j.bjoms.2022.08.007
Han W, Yang X, Wu S, Fan S, Chen X, Aung ZM, Liu T, Zhang Y, Gu S, Chai G. A new method for cranial vault reconstruction: Augmented reality in synostotic plagiocephaly surgery. Journal of Cranio-Maxillofacial Surgery. 2019;47(8):1280-1284. https://doi.org/10.1016/j.jcms.2019.04.008
Thabit A, Benmahdjoub M, van Veelen MC, Niessen WJ, Wolvius EB, van Walsum T. Augmented reality navigation for minimally invasive craniosynostosis surgery: a phantom study. International Journal of Computer Assisted Radiology and Surgery. 2022;17(8):1453-1460. https://doi.org/10.1007/s11548-022-02634-y
Sakamoto Y, Miwa T, Kajita H, Takatsume Y. Practical use of augmented reality for posterior distraction in craniosynostosis. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2022;75(10):3877-3903. https://doi.org/10.1016/j.bjps.2022.08.072
Kim Y, Kim H, Kim YO. Virtual Reality and Augmented Reality in Plastic Surgery: A Review. Archives of Plastic Surgery. 2017;44(3):179-187. https://doi.org/10.5999/aps.2017.44.3.179
Du Y, Liu K, Ju Y, Wang H. Effect of prolonged wear and frame tightness of AR glasses on comfort. Heliyon. 2024;10(16):e35899. https://doi.org/10.1016/j.heliyon.2024.e35899
Khor WS, Baker B, Amin K, Chan A, Patel K, Wong J. Augmented and virtual reality in surgery-the digital surgical environment: applications, limitations and legal pitfalls. Annals of Translational Medicine. 2016;4(23):454. https://doi.org/10.21037/atm.2016.12.23