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Innovations in Maxillofacial Surgery | Nader El Bokle | TEDxMSAUniversity


I’m here today to talk to you about what

I’m here today to talk to you about what I’m passionate about and what I’m

I’m passionate about and what I’m

I’m passionate about and what I’m passionate about is my profession or a

passionate about is my profession or a

passionate about is my profession or a maxillofacial surgery and in particular

maxillofacial surgery and in particular

maxillofacial surgery and in particular innovations in oral and maxillofacial

innovations in oral and maxillofacial

innovations in oral and maxillofacial surgery

surgery

surgery so what’s oral maxillofacial surgery or

so what’s oral maxillofacial surgery or

so what’s oral maxillofacial surgery or a maxillofacial surgery it’s the surgery

a maxillofacial surgery it’s the surgery

a maxillofacial surgery it’s the surgery that deals with the face and the jaws

that deals with the face and the jaws

that deals with the face and the jaws but Joe bones and we deal with car

but Joe bones and we deal with car

but Joe bones and we deal with car accidents we deal with the removing

accidents we deal with the removing

accidents we deal with the removing tumors in the face we deal with

tumors in the face we deal with

tumors in the face we deal with anomalies as cemetery’s facial cosmetics

anomalies as cemetery’s facial cosmetics

anomalies as cemetery’s facial cosmetics all that within our profession so what’s

all that within our profession so what’s

all that within our profession so what’s an innovation that I’m about to talk

an innovation that I’m about to talk

an innovation that I’m about to talk about innovation is anything that’s new

about innovation is anything that’s new

about innovation is anything that’s new it’s a new idea a novell device or even

it’s a new idea a novell device or even

it’s a new idea a novell device or even if you come up with a better technique

if you come up with a better technique

if you come up with a better technique in order to meet market demand to meet

in order to meet market demand to meet

in order to meet market demand to meet any new requirements that’s an

any new requirements that’s an

any new requirements that’s an innovation ever since ancient Egyptians

innovation ever since ancient Egyptians

innovation ever since ancient Egyptians we have known innovations one of the

we have known innovations one of the

we have known innovations one of the earliest known physician worldwide was a

earliest known physician worldwide was a

earliest known physician worldwide was a motive which means who he comes in peace

motive which means who he comes in peace

motive which means who he comes in peace and he had multiple profession who’s not

and he had multiple profession who’s not

and he had multiple profession who’s not only a physician he was a high priest he

only a physician he was a high priest he

only a physician he was a high priest he was an architect an engineer the first

was an architect an engineer the first

was an architect an engineer the first known to mankind as far as being a

known to mankind as far as being a

known to mankind as far as being a physician is hisy raha Syria was known

physician is hisy raha Syria was known

physician is hisy raha Syria was known to be the chief of dentists and

to be the chief of dentists and

to be the chief of dentists and physicians at the time of the Pharaohs

physicians at the time of the Pharaohs

physicians at the time of the Pharaohs 3,000 years BC almost since that time

3,000 years BC almost since that time

3,000 years BC almost since that time they had innovations innovations such as

they had innovations innovations such as

they had innovations innovations such as surgical techniques they knew something

surgical techniques they knew something

surgical techniques they knew something called trephination traffic agen is

called trephination traffic agen is

called trephination traffic agen is where we do small holes in the skull in

where we do small holes in the skull in

where we do small holes in the skull in order to decrease intracranial pressure

order to decrease intracranial pressure

order to decrease intracranial pressure that since the Pharaohs circumcision

that since the Pharaohs circumcision

that since the Pharaohs circumcision closure of wounds like stitching all

closure of wounds like stitching all

closure of wounds like stitching all that was known ever since the pharaohs

that was known ever since the pharaohs

that was known ever since the pharaohs and

and

and it was actually you can see that

it was actually you can see that

it was actually you can see that inscribed over at the tomb of Colombo

inscribed over at the tomb of Colombo

inscribed over at the tomb of Colombo and you’d find instruments that they

and you’d find instruments that they

and you’d find instruments that they actually made themselves and devised and

actually made themselves and devised and

actually made themselves and devised and for them at the time that’s innovation

for them at the time that’s innovation

for them at the time that’s innovation from era to era we have developed

from era to era we have developed

from era to era we have developed surgery we have developed surgery across

surgery we have developed surgery across

surgery we have developed surgery across errors from the Egyptian ancient

errors from the Egyptian ancient

errors from the Egyptian ancient Egyptians down to the Greeks the Romans

Egyptians down to the Greeks the Romans

Egyptians down to the Greeks the Romans and you know in the last two centuries

and you know in the last two centuries

and you know in the last two centuries but always innovations is challenged

but always innovations is challenged

but always innovations is challenged we’re always having obstacles to

we’re always having obstacles to

we’re always having obstacles to innovations and let me tell you a story

innovations and let me tell you a story

innovations and let me tell you a story that dates back to World War two where

that dates back to World War two where

that dates back to World War two where innovation was really challenged and

innovation was really challenged and

innovation was really challenged and it’s about a god a doctor actually he

it’s about a god a doctor actually he

it’s about a god a doctor actually he was an orthopedic surgeon his name is

was an orthopedic surgeon his name is

was an orthopedic surgeon his name is Gavril Elizabeth Elizabeth is an

Gavril Elizabeth Elizabeth is an

Gavril Elizabeth Elizabeth is an orthopedic surgeon that was from kurgan

orthopedic surgeon that was from kurgan

orthopedic surgeon that was from kurgan Russia at the time of World War two

Russia at the time of World War two

Russia at the time of World War two Russia was part of what’s known as the

Russia was part of what’s known as the

Russia was part of what’s known as the Soviet Union and at the time of war they

Soviet Union and at the time of war they

Soviet Union and at the time of war they used to get the surgeons in military

used to get the surgeons in military

used to get the surgeons in military planes and have them fly and they would

planes and have them fly and they would

planes and have them fly and they would drop them down with a parachute in order

drop them down with a parachute in order

drop them down with a parachute in order to get to remote areas and treat

to get to remote areas and treat

to get to remote areas and treat patients so eleazar over at the time

patients so eleazar over at the time

patients so eleazar over at the time developed that external fixator that you

developed that external fixator that you

developed that external fixator that you see and that external fixator he used to

see and that external fixator he used to

see and that external fixator he used to treat you know fractures and bones at

treat you know fractures and bones at

treat you know fractures and bones at the time of war but from hard times

the time of war but from hard times

the time of war but from hard times innovations developed and he actually

innovations developed and he actually

innovations developed and he actually the idea of this innovation came from

the idea of this innovation came from

the idea of this innovation came from the parachute how it came from the

the parachute how it came from the

the parachute how it came from the parachute look at the external rings in

parachute look at the external rings in

parachute look at the external rings in the fixator and look at the parachutes

the fixator and look at the parachutes

the fixator and look at the parachutes you’d find around the waist there is a

you’d find around the waist there is a

you’d find around the waist there is a ring the parachute is the second ring

ring the parachute is the second ring

ring the parachute is the second ring and the intersecting cords and

and the intersecting cords and

and the intersecting cords and stabilizing ropes are actually the same

stabilizing ropes are actually the same

stabilizing ropes are actually the same as the intersecting

as the intersecting

as the intersecting were there the wires that are

were there the wires that are

were there the wires that are stabilizing the bones and he came out

stabilizing the bones and he came out

stabilizing the bones and he came out with that innovation while parachuting

with that innovation while parachuting

with that innovation while parachuting and I was lucky enough to know that

and I was lucky enough to know that

and I was lucky enough to know that story because I met his nephew while I

story because I met his nephew while I

story because I met his nephew while I was studying in the USA I was giving a

was studying in the USA I was giving a

was studying in the USA I was giving a lecture and I mentioned his name in his

lecture and I mentioned his name in his

lecture and I mentioned his name in his techniques and there his nephew comes up

techniques and there his nephew comes up

techniques and there his nephew comes up to me after we finished the talk and

to me after we finished the talk and

to me after we finished the talk and tells me I’m his nephew

tells me I’m his nephew

tells me I’m his nephew and he showed me his name is Lily zero

and he showed me his name is Lily zero

and he showed me his name is Lily zero so he has the same family name and he

so he has the same family name and he

so he has the same family name and he tells me the story of the parachute

tells me the story of the parachute

tells me the story of the parachute which was not written in any article or

which was not written in any article or

which was not written in any article or paper it was only written in Russian and

paper it was only written in Russian and

paper it was only written in Russian and I was able to get to know that story but

I was able to get to know that story but

I was able to get to know that story but is that the only thing about Elizabeth I

is that the only thing about Elizabeth I

is that the only thing about Elizabeth I want to make know the story is just

want to make know the story is just

want to make know the story is just starting it’s not about the external

starting it’s not about the external

starting it’s not about the external fixator device no it’s much more than

fixator device no it’s much more than

fixator device no it’s much more than that sometimes innovation come

that sometimes innovation come

that sometimes innovation come accidentally not just by hard times or

accidentally not just by hard times or

accidentally not just by hard times or anything so Elizabeth had a nurse that

anything so Elizabeth had a nurse that

anything so Elizabeth had a nurse that nurse used to go to the patient where he

nurse used to go to the patient where he

nurse used to go to the patient where he fixated the fractures and used to you

fixated the fractures and used to you

fixated the fractures and used to you know you can see that around that device

know you can see that around that device

know you can see that around that device there are screws bolts and nuts that you

there are screws bolts and nuts that you

there are screws bolts and nuts that you have to tighten on a daily basis and you

have to tighten on a daily basis and you

have to tighten on a daily basis and you kind of want to make sure that it’s

kind of want to make sure that it’s

kind of want to make sure that it’s really tight so that the bones are

really tight so that the bones are

really tight so that the bones are compressed and it heals well so what

compressed and it heals well so what

compressed and it heals well so what happened is that that nurse instead of

happened is that that nurse instead of

happened is that that nurse instead of turning it clockwise she started doing

turning it clockwise she started doing

turning it clockwise she started doing it’s anti-clockwise and she did that for

it’s anti-clockwise and she did that for

it’s anti-clockwise and she did that for several days in a row and when Elizabeth

several days in a row and when Elizabeth

several days in a row and when Elizabeth came and saw what happened he was kind

came and saw what happened he was kind

came and saw what happened he was kind of astonished actually compression that

of astonished actually compression that

of astonished actually compression that was supposedly done would keep the

was supposedly done would keep the

was supposedly done would keep the segments and the bone to heal together

segments and the bone to heal together

segments and the bone to heal together but actually the tension on the bones

but actually the tension on the bones

but actually the tension on the bones created new bone like you see here this

created new bone like you see here this

created new bone like you see here this is the fracture and that new bone being

is the fracture and that new bone being

is the fracture and that new bone being laid down by applying constant tension

laid down by applying constant tension

laid down by applying constant tension to the bones and that phenomena came out

to the bones and that phenomena came out

to the bones and that phenomena came out as distraction osteogenesis so while

as distraction osteogenesis so while

as distraction osteogenesis so while distracting the segments of the bone

distracting the segments of the bone

distracting the segments of the bone you’re getting new bone laid down in

you’re getting new bone laid down in

you’re getting new bone laid down in between and

between and

between and that story is the the base of any bone

that story is the the base of any bone

that story is the the base of any bone lengthening procedure okay

lengthening procedure okay

lengthening procedure okay so Elizabeth started working on that

so Elizabeth started working on that

so Elizabeth started working on that those bone lengthening procedures and

those bone lengthening procedures and

those bone lengthening procedures and all his results would not be accepted

all his results would not be accepted

all his results would not be accepted and you know what would they call him

and you know what would they call him

and you know what would they call him they would call him the magician from

they would call him the magician from

they would call him the magician from Kurgan every time in history even in the

Kurgan every time in history even in the

Kurgan every time in history even in the fare time they would raid things to

fare time they would raid things to

fare time they would raid things to magic or something that wouldn’t be

magic or something that wouldn’t be

magic or something that wouldn’t be accepted just because you’re getting

accepted just because you’re getting

accepted just because you’re getting something out in you and it wasn’t until

something out in you and it wasn’t until

something out in you and it wasn’t until he treated an Olympic high jumper by the

he treated an Olympic high jumper by the

he treated an Olympic high jumper by the name of Valerie Brummell Valerie Brunel

name of Valerie Brummell Valerie Brunel

name of Valerie Brummell Valerie Brunel was one of them more or less not very

was one of them more or less not very

was one of them more or less not very well-known high jumpers and at the time

well-known high jumpers and at the time

well-known high jumpers and at the time he suffered a motorcycle accident and he

he suffered a motorcycle accident and he

he suffered a motorcycle accident and he had to go for about 14 surgeries just to

had to go for about 14 surgeries just to

had to go for about 14 surgeries just to correct the deformity that he suffered

correct the deformity that he suffered

correct the deformity that he suffered in his long bones

in his long bones

in his long bones Valerie Brummell as a last resort and

Valerie Brummell as a last resort and

Valerie Brummell as a last resort and unsuccessful surgeries 14 unsuccessful

unsuccessful surgeries 14 unsuccessful

unsuccessful surgeries 14 unsuccessful surgeries he went to the magician from

surgeries he went to the magician from

surgeries he went to the magician from kurgan and the magician from kurgan

kurgan and the magician from kurgan

kurgan and the magician from kurgan treated him to operations and he was

treated him to operations and he was

treated him to operations and he was able within six months to return him

able within six months to return him

able within six months to return him back to training and to abet high

back to training and to abet high

back to training and to abet high jumping again now let me talk to you

jumping again now let me talk to you

jumping again now let me talk to you about a more recent innovation that

about a more recent innovation that

about a more recent innovation that we’re using right now all the time and

we’re using right now all the time and

we’re using right now all the time and it’s actually the highlight of the

it’s actually the highlight of the

it’s actually the highlight of the fourth Industrial Revolution 3d printing

fourth Industrial Revolution 3d printing

fourth Industrial Revolution 3d printing 3d printing has come up out in the

3d printing has come up out in the

3d printing has come up out in the nineties in 2000 industry of course and

nineties in 2000 industry of course and

nineties in 2000 industry of course and then it started to have medical and

then it started to have medical and

then it started to have medical and dental application and this is the first

dental application and this is the first

dental application and this is the first case I was lucky enough in 2001 that I

case I was lucky enough in 2001 that I

case I was lucky enough in 2001 that I had one of the earliest models and 3d

had one of the earliest models and 3d

had one of the earliest models and 3d printing there were only two places in

printing there were only two places in

printing there were only two places in the United entire United States that did

the United entire United States that did

the United entire United States that did 3d printing and these were among the

3d printing and these were among the

3d printing and these were among the first models that were done at these

first models that were done at these

first models that were done at these institutions

institutions

institutions oceans and this is a case for a 34 year

oceans and this is a case for a 34 year

oceans and this is a case for a 34 year old male who had Allegiant in his lower

old male who had Allegiant in his lower

old male who had Allegiant in his lower jaw and that Legion had eaten up all his

jaw and that Legion had eaten up all his

jaw and that Legion had eaten up all his mojo and we wanted to frame that 3d

mojo and we wanted to frame that 3d

mojo and we wanted to frame that 3d model in order to help outline see where

model in order to help outline see where

model in order to help outline see where we’re gonna make the cuts of the tumor

we’re gonna make the cuts of the tumor

we’re gonna make the cuts of the tumor mass and help us like you see there’s a

mass and help us like you see there’s a

mass and help us like you see there’s a plate here and that plate we wanted to

plate here and that plate we wanted to

plate here and that plate we wanted to prevent that plate outside the patient

prevent that plate outside the patient

prevent that plate outside the patient and go ready to put it inside the

and go ready to put it inside the

and go ready to put it inside the patient as free bent plates at the time

patient as free bent plates at the time

patient as free bent plates at the time that was an innovation now it’s

that was an innovation now it’s

that was an innovation now it’s standards that’s standard procedure

standards that’s standard procedure

standards that’s standard procedure nowadays but at the time we did that and

nowadays but at the time we did that and

nowadays but at the time we did that and we reported it of course and you can see

we reported it of course and you can see

we reported it of course and you can see how it can save in a lot of time in the

how it can save in a lot of time in the

how it can save in a lot of time in the operating room how can that provide more

operating room how can that provide more

operating room how can that provide more accuracy to us because we know exactly

accuracy to us because we know exactly

accuracy to us because we know exactly where to cut and we’re getting it ready

where to cut and we’re getting it ready

where to cut and we’re getting it ready preventing a plate such as this can take

preventing a plate such as this can take

preventing a plate such as this can take us an hour an hour and a half in the war

us an hour an hour and a half in the war

us an hour an hour and a half in the war so we’re actually decreasing the time

so we’re actually decreasing the time

so we’re actually decreasing the time and operating room so what else can 3d

and operating room so what else can 3d

and operating room so what else can 3d printing offers now with the new

printing offers now with the new

printing offers now with the new technology 3d printing can actually you

technology 3d printing can actually you

technology 3d printing can actually you can buy print tissues and organs like an

can buy print tissues and organs like an

can buy print tissues and organs like an air cartridge or 3d printed hearts okay

air cartridge or 3d printed hearts okay

air cartridge or 3d printed hearts okay still under research not out yet but

still under research not out yet but

still under research not out yet but still under research ins being done we

still under research ins being done we

still under research ins being done we can do a customized implantable device

can do a customized implantable device

can do a customized implantable device like I cytanium mandible that we can do

like I cytanium mandible that we can do

like I cytanium mandible that we can do and now there are expensive 3d printers

and now there are expensive 3d printers

and now there are expensive 3d printers that can print those dishes in organs

that can print those dishes in organs

that can print those dishes in organs this printers called a bio plotter and

this printers called a bio plotter and

this printers called a bio plotter and it’s that big and $300,000 worth and

it’s that big and $300,000 worth and

it’s that big and $300,000 worth and that can print on a variety of different

that can print on a variety of different

that can print on a variety of different materials that are natural materials

materials that are natural materials

materials that are natural materials where we can incorporate inside the body

where we can incorporate inside the body

where we can incorporate inside the body and that’s a huge innovation and now

and that’s a huge innovation and now

and that’s a huge innovation and now we’re moving on the last three years or

we’re moving on the last three years or

we’re moving on the last three years or four years we’re moving on to in offer

four years we’re moving on to in offer

four years we’re moving on to in offer 3d printing so those models and those

3d printing so those models and those

3d printing so those models and those templates I can do myself in my clinic I

templates I can do myself in my clinic I

templates I can do myself in my clinic I myself today have two 3d printers that

myself today have two 3d printers that

myself today have two 3d printers that I’m using on a weekly

I’m using on a weekly

I’m using on a weekly at least they are getting more accurate

at least they are getting more accurate

at least they are getting more accurate more affordable there are printers that

more affordable there are printers that

more affordable there are printers that used to cost between two hundred

used to cost between two hundred

used to cost between two hundred hundreds grand to two hundred thousand

hundreds grand to two hundred thousand

hundreds grand to two hundred thousand dollars now you can have printer between

dollars now you can have printer between

dollars now you can have printer between four thousand to ten thousand dollars

four thousand to ten thousand dollars

four thousand to ten thousand dollars that are offering quite a good quality

that are offering quite a good quality

that are offering quite a good quality to certain applications so it’s changing

to certain applications so it’s changing

to certain applications so it’s changing you’re getting to have it on hand and

you’re getting to have it on hand and

you’re getting to have it on hand and with you and this way you can develop

with you and this way you can develop

with you and this way you can develop more and you can innovate more from then

more and you can innovate more from then

more and you can innovate more from then after 3d printing we started realizing

after 3d printing we started realizing

after 3d printing we started realizing that we need more accuracy on the

that we need more accuracy on the

that we need more accuracy on the planning of the surgery itself so quema

planning of the surgery itself so quema

planning of the surgery itself so quema there came out a huge leap in virtual

there came out a huge leap in virtual

there came out a huge leap in virtual planning software what I mean by virtual

planning software what I mean by virtual

planning software what I mean by virtual planning is we actually upload the comb

planning is we actually upload the comb

planning is we actually upload the comb beam CTS or the CT scans the x-rays for

beam CTS or the CT scans the x-rays for

beam CTS or the CT scans the x-rays for the patient onto the software then we

the patient onto the software then we

the patient onto the software then we kind of segmental eyes the segment’s in

kind of segmental eyes the segment’s in

kind of segmental eyes the segment’s in the mandible the maxilla or the

the mandible the maxilla or the

the mandible the maxilla or the different parts of the face and you kind

different parts of the face and you kind

different parts of the face and you kind of differentiate in segments and then we

of differentiate in segments and then we

of differentiate in segments and then we start doing moves or maybe cuts virtual

start doing moves or maybe cuts virtual

start doing moves or maybe cuts virtual cuts all in 3d space so we’re actually

cuts all in 3d space so we’re actually

cuts all in 3d space so we’re actually doing this in a 3ds kind of space and

doing this in a 3ds kind of space and

doing this in a 3ds kind of space and doing the final moves in 3d space on a

doing the final moves in 3d space on a

doing the final moves in 3d space on a software after we do that we move on to

software after we do that we move on to

software after we do that we move on to a device planning software where we want

a device planning software where we want

a device planning software where we want the virtual plan to go with us into the

the virtual plan to go with us into the

the virtual plan to go with us into the operating room so we need to 3d print

operating room so we need to 3d print

operating room so we need to 3d print what you see here these devices that you

what you see here these devices that you

what you see here these devices that you can see here we want to take them inside

can see here we want to take them inside

can see here we want to take them inside though are to give us exactly what the

though are to give us exactly what the

though are to give us exactly what the virtual plan has accomplished in order

virtual plan has accomplished in order

virtual plan has accomplished in order to provide the highest accuracy for the

to provide the highest accuracy for the

to provide the highest accuracy for the patient’s and now we can 3d print those

patient’s and now we can 3d print those

patient’s and now we can 3d print those templates or re or plates customized we

templates or re or plates customized we

templates or re or plates customized we can 3d print them and take them into the

can 3d print them and take them into the

can 3d print them and take them into the war from there we planned the surgery

war from there we planned the surgery

war from there we planned the surgery after we plant the surgery with 3d

after we plant the surgery with 3d

after we plant the surgery with 3d printed what we needed but can we

printed what we needed but can we

printed what we needed but can we navigate inside the surgery the

navigate inside the surgery the

navigate inside the surgery the kein surgical navigation surgical

kein surgical navigation surgical

kein surgical navigation surgical navigation started in the orthopedic

navigation started in the orthopedic

navigation started in the orthopedic literature and neurosurgery and then

literature and neurosurgery and then

literature and neurosurgery and then went into the cranial maxillofacial

went into the cranial maxillofacial

went into the cranial maxillofacial surgery literature and now what’s

surgery literature and now what’s

surgery literature and now what’s happening is actually you’re having

happening is actually you’re having

happening is actually you’re having cameras and these instruments that the

cameras and these instruments that the

cameras and these instruments that the doctor is moving around the patient’s

doctor is moving around the patient’s

doctor is moving around the patient’s anatomy and you can track those

anatomy and you can track those

anatomy and you can track those instruments inside on the screen and you

instruments inside on the screen and you

instruments inside on the screen and you can see how far they are moving from the

can see how far they are moving from the

can see how far they are moving from the patient so you’re actually navigating

patient so you’re actually navigating

patient so you’re actually navigating the surgery itself so it’s similar to a

the surgery itself so it’s similar to a

the surgery itself so it’s similar to a GPS the GPS you have the map the maps

GPS the GPS you have the map the maps

GPS the GPS you have the map the maps here are the patient’s x-rays and the

here are the patient’s x-rays and the

here are the patient’s x-rays and the instruments here the GPS system itself

instruments here the GPS system itself

instruments here the GPS system itself is actually the instruments that we are

is actually the instruments that we are

is actually the instruments that we are moving back and forth while you are in

moving back and forth while you are in

moving back and forth while you are in your car you’re being tracked by

your car you’re being tracked by

your car you’re being tracked by satellite okay and you have the GPS

satellite okay and you have the GPS

satellite okay and you have the GPS system to be tracked and you’re moving

system to be tracked and you’re moving

system to be tracked and you’re moving along the same thing the instruments

along the same thing the instruments

along the same thing the instruments here as they move along round the

here as they move along round the

here as they move along round the patients face we can see where is it

patients face we can see where is it

patients face we can see where is it moving exactly so if we’re cutting we

moving exactly so if we’re cutting we

moving exactly so if we’re cutting we can see on the monitor where exactly

can see on the monitor where exactly

can see on the monitor where exactly we’re cutting and that’s called surgical

we’re cutting and that’s called surgical

we’re cutting and that’s called surgical navigation it’s still very expensive but

navigation it’s still very expensive but

navigation it’s still very expensive but it’s applying now and still going on

it’s applying now and still going on

it’s applying now and still going on further so I just wanted to show you

further so I just wanted to show you

further so I just wanted to show you here that for example if we have a

here that for example if we have a

here that for example if we have a patient with like an injured orbital

patient with like an injured orbital

patient with like an injured orbital floor orbital Flores the bone just

floor orbital Flores the bone just

floor orbital Flores the bone just beneath the eyeball if it’s injured on

beneath the eyeball if it’s injured on

beneath the eyeball if it’s injured on one side what we do is we mirror image

one side what we do is we mirror image

one side what we do is we mirror image the injured side on the good side so you

the injured side on the good side so you

the injured side on the good side so you have both mirror image the same way then

have both mirror image the same way then

have both mirror image the same way then with the software we do a patient

with the software we do a patient

with the software we do a patient specific device planning and with

specific device planning and with

specific device planning and with surgical navigation we can put the

surgical navigation we can put the

surgical navigation we can put the patient specific implant in the right

patient specific implant in the right

patient specific implant in the right place as we virtually planned it so you

place as we virtually planned it so you

place as we virtually planned it so you can see how innovation have blended

can see how innovation have blended

can see how innovation have blended together so that was the current

together so that was the current

together so that was the current innovation that we’re using so what’s

innovation that we’re using so what’s

innovation that we’re using so what’s upcoming innovations in our fields

upcoming innovations in our fields

upcoming innovations in our fields augmented reality

augmented reality

augmented reality when the doctor is looking at the screen

when the doctor is looking at the screen

when the doctor is looking at the screen he cannot really his he’s working on the

he cannot really his he’s working on the

he cannot really his he’s working on the screen and working on the patient so

screen and working on the patient so

screen and working on the patient so their lack of coordination or

their lack of coordination or

their lack of coordination or correlation between his eyes and what

correlation between his eyes and what

correlation between his eyes and what he’s doing on the patient himself so now

he’s doing on the patient himself so now

he’s doing on the patient himself so now there’s a leap that’s coming it’s still

there’s a leap that’s coming it’s still

there’s a leap that’s coming it’s still under study I’ve been with the group who

under study I’ve been with the group who

under study I’ve been with the group who are actually doing a lot of studies they

are actually doing a lot of studies they

are actually doing a lot of studies they are in bologna italy headed by dr.

are in bologna italy headed by dr.

are in bologna italy headed by dr. Bianchi and they were doing fantastic

Bianchi and they were doing fantastic

Bianchi and they were doing fantastic work on ADD mental reality yet it’s

work on ADD mental reality yet it’s

work on ADD mental reality yet it’s still not out yet but what they’re

still not out yet but what they’re

still not out yet but what they’re trying to do is the doctor would wear

trying to do is the doctor would wear

trying to do is the doctor would wear those glasses similar to you know the

those glasses similar to you know the

those glasses similar to you know the google glasses and you know and the

google glasses and you know and the

google glasses and you know and the microsoft hololens and when he put the

microsoft hololens and when he put the

microsoft hololens and when he put the glasses he would see the virtual plan

glasses he would see the virtual plan

glasses he would see the virtual plan simulated on the patient himself so you

simulated on the patient himself so you

simulated on the patient himself so you would actually have the planned surgery

would actually have the planned surgery

would actually have the planned surgery over the patient so I can see where

over the patient so I can see where

over the patient so I can see where exactly I will cut while the pain or or

exactly I will cut while the pain or or

exactly I will cut while the pain or or you could have a tablet even there’s

you could have a tablet even there’s

you could have a tablet even there’s another Institute in Basel in

another Institute in Basel in

another Institute in Basel in Switzerland that instead of having an

Switzerland that instead of having an

Switzerland that instead of having an augmented reality glasses you would

augmented reality glasses you would

augmented reality glasses you would slide a tablet over the patient and you

slide a tablet over the patient and you

slide a tablet over the patient and you see the virtual plan on the patient’s

see the virtual plan on the patient’s

see the virtual plan on the patient’s head themselves so that’s a huge leap in

head themselves so that’s a huge leap in

head themselves so that’s a huge leap in you know in in our fields lastly about

you know in in our fields lastly about

you know in in our fields lastly about the upcoming innovation I want to talk

the upcoming innovation I want to talk

the upcoming innovation I want to talk to you about tactics tactics holograms

to you about tactics tactics holograms

to you about tactics tactics holograms sense of touch

sense of touch

sense of touch haptics is a sense of touch what happens

haptics is a sense of touch what happens

haptics is a sense of touch what happens is that the doctor has a hologram in

is that the doctor has a hologram in

is that the doctor has a hologram in front of him and he start getting a

front of him and he start getting a

front of him and he start getting a haptic device similar to that arm you

haptic device similar to that arm you

haptic device similar to that arm you see here and he starts touching the

see here and he starts touching the

see here and he starts touching the hologram and he starts moving the parts

hologram and he starts moving the parts

hologram and he starts moving the parts on the hologram and what he can do for

on the hologram and what he can do for

on the hologram and what he can do for example if you have a fracture here he

example if you have a fracture here he

example if you have a fracture here he can come pick up that segment and with

can come pick up that segment and with

can come pick up that segment and with the haptic put it in place it right

the haptic put it in place it right

the haptic put it in place it right where it’s supposed to be on the

where it’s supposed to be on the

where it’s supposed to be on the hologram not on even on the computer on

hologram not on even on the computer on

hologram not on even on the computer on a simulated

a simulated

a simulated the hologram and then he would feel a

the hologram and then he would feel a

the hologram and then he would feel a snap a push back that will make him feel

snap a push back that will make him feel

snap a push back that will make him feel that it went in in the right area like

that it went in in the right area like

that it went in in the right area like you can see here you can see the guard

you can see here you can see the guard

you can see here you can see the guard or the gloves the haptic gloves that

or the gloves the haptic gloves that

or the gloves the haptic gloves that he’s wearing and he is manipulating the

he’s wearing and he is manipulating the

he’s wearing and he is manipulating the 3d hologram and he could get those

3d hologram and he could get those

3d hologram and he could get those segments like a jigsaw puzzle and help

segments like a jigsaw puzzle and help

segments like a jigsaw puzzle and help yourself to snap them into the right

yourself to snap them into the right

yourself to snap them into the right Anatomy that’s what we’re talking about

Anatomy that’s what we’re talking about

Anatomy that’s what we’re talking about in haptic technology and what’s coming

in haptic technology and what’s coming

in haptic technology and what’s coming up very soon within the next three to

up very soon within the next three to

up very soon within the next three to five years I’m not saying 10 years 20

five years I’m not saying 10 years 20

five years I’m not saying 10 years 20 years I’m talking three to five years

years I’m talking three to five years

years I’m talking three to five years and now haptics together with augmented

and now haptics together with augmented

and now haptics together with augmented reality are kind of getting together for

reality are kind of getting together for

reality are kind of getting together for educational purposes getting together so

educational purposes getting together so

educational purposes getting together so that you would be able to study anatomy

that you would be able to study anatomy

that you would be able to study anatomy and you can actually divide the muscle

and you can actually divide the muscle

and you can actually divide the muscle layer be able to look more closely

layer be able to look more closely

layer be able to look more closely inside the heart and other organs so

inside the heart and other organs so

inside the heart and other organs so actually the students of medicine or

actually the students of medicine or

actually the students of medicine or dentistry can easy visualize in a 3d

dentistry can easy visualize in a 3d

dentistry can easy visualize in a 3d level and in this university here were

level and in this university here were

level and in this university here were actually doing that to help residents do

actually doing that to help residents do

actually doing that to help residents do understand surgical and actually of the

understand surgical and actually of the

understand surgical and actually of the head and neck and I have about four

head and neck and I have about four

head and neck and I have about four students who are highly interested in

students who are highly interested in

students who are highly interested in that part and working on the software to

that part and working on the software to

that part and working on the software to develop that for our area in the head

develop that for our area in the head

develop that for our area in the head and neck area

so what’s the take-home message today

so what’s the take-home message today harbouring innovation rather than

harbouring innovation rather than

harbouring innovation rather than challenging innovations we are much more

challenging innovations we are much more

challenging innovations we are much more lucky than what the time of Elizabeth

lucky than what the time of Elizabeth

lucky than what the time of Elizabeth where he had to take it took him 20

where he had to take it took him 20

where he had to take it took him 20 years in order for his own people to be

years in order for his own people to be

years in order for his own people to be convinced of what he has to do and

convinced of what he has to do and

convinced of what he has to do and another 20 years language barrier war

another 20 years language barrier war

another 20 years language barrier war barrier and others

barrier and others

barrier and others now we’re lucky we have all papers

now we’re lucky we have all papers

now we’re lucky we have all papers translated that the touch of our fingers

translated that the touch of our fingers

translated that the touch of our fingers I could get latest paper we have people

I could get latest paper we have people

I could get latest paper we have people more interested in innovations and in

more interested in innovations and in

more interested in innovations and in getting us the most recent innovations

getting us the most recent innovations

getting us the most recent innovations how

how

how we need organizations we need

we need organizations we need

we need organizations we need organizations to partner with

organizations to partner with

organizations to partner with entrepreneurs and actually provide the

entrepreneurs and actually provide the

entrepreneurs and actually provide the funds provide right Network provide the

funds provide right Network provide the

funds provide right Network provide the right tools for those entrepreneurs to

right tools for those entrepreneurs to

right tools for those entrepreneurs to be able to take the innovation into the

be able to take the innovation into the

be able to take the innovation into the markets so now I talked to you about

markets so now I talked to you about

markets so now I talked to you about haptics I’ve talked to you about

haptics I’ve talked to you about

haptics I’ve talked to you about augmented reality and that’s a

augmented reality and that’s a

augmented reality and that’s a maxillofacial surgery aren’t you a

maxillofacial surgery aren’t you a

maxillofacial surgery aren’t you a little bit curious what we will get in

little bit curious what we will get in

little bit curious what we will get in twenty more years thank you for

twenty more years thank you for

twenty more years thank you for listening

listening

listening [Applause]

”

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