
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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