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Research Library · Independent literature review

ENT / head & neck: VR and AR surgical planning research

The library holds 21 ENT / head & neck studies, published 2018–2026; 11 of them since 2024.

Study designs: 1 randomized trial, 3 comparative or prospective studies, 1 retrospective study, 3 surveys and user studies, 5 reviews and 8 case reports, case series and technical reports.

ENT / head & neck: studies by questionBar chart. ENT / head & neck: studies by question. Resident training 5, Prefer 3D planning 4, Accuracy 4, Department adoption 4, Anatomy understanding 3, Time 3, Patient outcomes 3.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWENT / head & neck: studies by question21 studies in the libraryResident training5Prefer 3D planning4Accuracy4Department adoption4Anatomy understanding3Time3Patient outcomes3Positive findingMixedDescriptiveNo significant differenceRealize Medical Research Library · 631 studies · updated 2026-10-03

Key findings by question

Quoted from the studies. Each question lists the studies that report on it.

Do surgeons actually want to plan in 3D?

Of 4 studies with a finding on this question: 4 report a positive finding. These reflect what each study's authors report.

  • Positive finding
    “Based on the system usability score, the VR-DSP platform was found to have above average usability.”

    Manzie 2023 · Survey/user study

  • Positive finding
    “Most participants were favorable about the VR model and considered HMD as superior to a flat computer screen. 91% of the participants agreed or somewhat agreed that VR through HMD is cost effective.”

    Yamazaki 2021 · Survey/user study · n: 1 patient

  • Positive finding
    “The case-specific 3D hologram on HMDs was successfully used by means of easy gesture-handling without any monitors preoperatively and intraoperatively.”

    Mitani 2021 · Survey/user study

Does it improve anatomical understanding?

Of 3 studies with a finding on this question: 1 report a positive finding, 1 descriptive, 1 no significant difference. These reflect what each study's authors report.

  • Positive finding
    “The VR models helped the surgeon to assess the details of the altered anatomy preoperatively to plan an appropriate approach.”

    Nowak 2024 · Case series

  • Descriptive
    “Three-quarters (76%) of residents reported increased confidence after using VR.”

    Feinmesser 2023 · Feasibility study · n: 21 patients

Does it save time?

Of 3 studies with a finding on this question: 2 report a positive finding, 1 descriptive. These reflect what each study's authors report.

  • Positive finding
    “Surgeons were able to perform the steps in an efficient time despite limited experience.”

    Manzie 2023 · Survey/user study

  • Positive finding
    “AI algorithms increased the accuracy of tumor detection and treatment planning, while VR-based planning and augmented reality guidance improved surgical margins and reduced operative time.”

    Ghasemi 2025 · Preprint (narrative review)

  • Descriptive
    “During an operative workshop, a surgeon using AR glasses projected virtual, annotated specimen models back into the resection bed onto a cadaver within approximately 10 minutes.”

    Necker 2023 · Cadaveric study

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Is the planning accurate?

Of 4 studies with a finding on this question: 4 report a positive finding. These reflect what each study's authors report.

  • Positive finding
    “The 3D virtual specimen can be accurately superimposed onto surgical sites for orientation and sizing applications.”

    Necker 2023 · Cadaveric study

  • Positive finding
    “A strong correlation based on intraclass coefficient was found between the methods on both the anatomical (r > 0.900) and fiducial measurements (r > 0.916).”

    Timonen 2021 · Cadaveric study

  • Positive finding
    “When explored with an endoscope in the VR simulator, the anatomical models generated by the algorithm accurately capture key sinus structures and showcase patient-specific variability in anatomy.”

    Gudapati 2024 · Technical development

Does it affect patient outcomes?

Of 3 studies with a finding on this question: 1 mixed, 2 descriptive. These reflect what each study's authors report.

  • Mixed
    “VRCEP was associated with decreased defect-driven margins (10% vs. 53.3%, p = 0.032).”

    Nunes 2025 · Randomized controlled trial · n: 34 patients

  • Descriptive
    “Despite its potential, further research is needed to assess the full impact of VR technologies on surgical outcomes and educational efficacy in head and neck oncology decision making.”

    Dubray-Vautrin 2025 · Narrative review

  • Descriptive
    “With the help of virtual reality, surgeons could adequately assess the condition of carcinoma and the security of operation and ensured the safety of operations.”

    Zhou 2018 · Case series · n: 8 patients

All specialties

Does it help train residents?

Of 5 studies with a finding on this question: 4 report a positive finding, 1 descriptive. These reflect what each study's authors report.

  • Positive finding
    “Regardless of the participants' training level in otorhinolaryngology or VR experience, all participants agreed that the VR temporal bone model is useful for anatomical education.”

    Yamazaki 2021 · Survey/user study · n: 1 patient

  • Positive finding
    “Similarly, the holograms were observed to be better for intraoperative application and surgical education than computer images (P < .01).”

    Mitani 2021 · Survey/user study

  • Positive finding
    “VR training platforms shortened the learning curve for surgeons by providing risk-free, immersive simulation, and AI-driven analytics enabled real-time monitoring of reconstructive flaps and early complication detection.”

    Ghasemi 2025 · Preprint (narrative review)

Will my department actually use it?

Of 4 studies with a finding on this question: 1 report a positive finding, 3 descriptive. These reflect what each study's authors report.

  • Positive finding
    “Completion of the VRCEP was feasible with no significant increase in surgeon TLB appreciated.”

    Nunes 2025 · Randomized controlled trial · n: 34 patients

  • Descriptive
    “Participants identified some perceived barriers to implementing the VR-DSP platform.”

    Manzie 2023 · Survey/user study

  • Descriptive
    “Additionally, VR enhances collaborative decision-making in tumor boards by enabling multidisciplinary teams to visualize medical images in a shared virtual space.”

    Dubray-Vautrin 2025 · Narrative review

Studies (21)

A Randomized Pilot Trial of Virtual Reality Surgical Planning for Head and Neck Oncologic Resection #

Nunes KL et al. · The Laryngoscope · 2025

ENT / head & neck · Randomized controlled trial · n: 34 patients

“VRCEP was associated with decreased defect-driven margins (10% vs. 53.3%, p = 0.032).”

p = 0.032

DOIPubMed

Pre-Operative Planning of a DCR Surgery Using Virtual Reality #

Priel A et al. · Seminars in ophthalmology · 2025

ENT / head & neck · Validation study · n: 10 patients

“Surprisingly, the VR system did not help them to interpret the CT better.”

DOIPubMed

Virtual Resection Specimen Interaction Using Augmented Reality Holograms to Guide Margin Communication and Flap Sizing #

Necker FN et al. · Otolaryngology--head and neck surgery · 2023

ENT / head & neck · Cadaveric study

“The 3D virtual specimen can be accurately superimposed onto surgical sites for orientation and sizing applications.”

DOIPubMedFree full text

Virtual reality improves the accuracy of simulated preoperative planning in temporal bones: a feasibility and validation study #

Timonen T et al. · European archives of oto-rhino-laryngology · 2021

ENT / head & neck · Cadaveric study

“A strong correlation based on intraclass coefficient was found between the methods on both the anatomical (r > 0.900) and fiducial measurements (r > 0.916).”

r > 0.900

DOIPubMedFree full text

Contribution of Virtual Reality to Surgical Decision-Making for Evaluating Vascular Contraindications in Malignant Head and Neck Tumors #

Munoglu A et al. · Surgical innovation · 2026

ENT / head & neck · Retrospective cohort · n: 27 patients

“In MTB, 1 of 20 decisions (5%) was modified after 3D review”

5%

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Virtual reality digital surgical planning for jaw reconstruction: a usability study #

Manzie T et al. · ANZ journal of surgery · 2023

ENT / head & neck · Survey/user study

“Based on the system usability score, the VR-DSP platform was found to have above average usability.”

DOIPubMed

Patient-specific virtual and mixed reality for immersive, experiential anatomy education and for surgical planning in temporal bone surgery #

Yamazaki A et al. · Auris, nasus, larynx · 2021

ENT / head & neck · Survey/user study · n: 1 patient

“Most participants were favorable about the VR model and considered HMD as superior to a flat computer screen. 91% of the participants agreed or somewhat agreed that VR through HMD is cost effective.”

91%

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Case-specific three-dimensional hologram with a mixed reality technique for tumor resection in otolaryngology #

Mitani S et al. · Laryngoscope investigative otolaryngology · 2021

ENT / head & neck · Survey/user study

“The case-specific 3D hologram on HMDs was successfully used by means of easy gesture-handling without any monitors preoperatively and intraoperatively.”

DOIPubMedFree full text

Revolutionizing Head and Neck Reconstruction: The Integration of Artificial Intelligence and Virtual Reality in Surgical Practice #

Ghasemi S et al. · Preprints.org · 2025

ENT / head & neck · Preprint (narrative review)

“AI algorithms increased the accuracy of tumor detection and treatment planning, while VR-based planning and augmented reality guidance improved surgical margins and reduced operative time.”

DOI

Exploring the impact of virtual reality on education, surgical planning, and interdisciplinary collaboration for clinicians in head and neck oncology #

Dubray-Vautrin A et al. · Oral oncology · 2025

ENT / head & neck · Narrative review

“Additionally, VR enhances collaborative decision-making in tumor boards by enabling multidisciplinary teams to visualize medical images in a shared virtual space.”

DOIPubMed

Enhancing Surgical Vision: Augmented Reality in Otolaryngology-Head and Neck Surgery #

Aweeda M et al. · Journal of medical extended reality · 2024

ENT / head & neck · Narrative review

DOIPubMedFree full text

Extended Reality Applications in Otolaryngology Beyond the Operating Room: A Scoping Review #

Torborg SR et al. · Journal of clinical medicine · 2024

ENT / head & neck · Systematic review

“XR is a novel strategy for increasing patients' comprehension of their procedures and can facilitate improved communication and planning amongst a multidisciplinary surgical team during preoperative discussions.”

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Robotics in Pediatric Otolaryngology-Head and Neck Surgery and Advanced Surgical Planning #

Konuthula N et al. · Otolaryngologic clinics of North America · 2020

ENT / head & neck · Narrative review

DOIPubMed

Use of Three-Dimensional (3D) Airway Modeling and Virtual Reality for Diagnosis, Communication, and Surgical Planning of Complex Airway Stenosis #

Cho Y et al. · Head & neck · 2025

ENT / head & neck · Technical development · n: 3 patients

DOIPubMedFree full text

Virtual Reality and Mixed Reality-Assisted Endoscopic DCR in Extremely Complex Lacrimal Obstructions #

Nowak R et al. · The Laryngoscope · 2024

ENT / head & neck · Case series

“The VR models helped the surgeon to assess the details of the altered anatomy preoperatively to plan an appropriate approach.”

DOIPubMed

Mixed Reality as a Digital Visualisation Solution for the Head and Neck Tumour Board: Application Creation and Implementation Study #

Karnatz N et al. · Cancers · 2024

ENT / head & neck · Technical development

DOIPubMedFree full text

Development of a Machine Learning-Enabled Virtual Reality Tool for Preoperative Planning of Functional Endoscopic Sinus Surgery #

Gudapati V et al. · Journal of neurological surgery reports · 2024

ENT / head & neck · Technical development

“When explored with an endoscope in the VR simulator, the anatomical models generated by the algorithm accurately capture key sinus structures and showcase patient-specific variability in anatomy.”

DOIPubMedFree full text

Virtual reality-based training and pre-operative planning for head and neck sentinel lymph node biopsy #

Feinmesser G et al. · American journal of otolaryngology · 2023

ENT / head & neck · Feasibility study · n: 21 patients

“The attending surgeons rated the VR model's accuracy at 8.3 ± 1.6 out of 10.”

8.3 ± 1.6

DOIPubMed

Advances and Innovations in Ablative Head and Neck Oncologic Surgery Using Mixed Reality Technologies in Personalized Medicine #

Karnatz N et al. · Journal of clinical medicine · 2022

ENT / head & neck · Technical development

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Augmented Reality for Head and Neck Carcinoma Imaging: Description and Feasibility of an Instant Calibration, Markerless Approach #

Gsaxner C et al. · Computer methods and programs in biomedicine · 2021

ENT / head & neck · Technical development

“Medical experts rated our application with a system usability scale score of 74.8 ± 15.9, which signifies above average, good usability and clinical acceptance.”

74.8 ± 15.9

DOIPubMed

Show the other 1 studies

[Application of virtual reality in surgical treatment of complex head and neck carcinoma] #

Zhou YQ et al. · Zhonghua er bi yan hou tou jing wai ke za zhi · 2018

ENT / head & neck · Case series · n: 8 patients

“With the help of virtual reality, surgeons could adequately assess the condition of carcinoma and the security of operation and ensured the safety of operations.”

DOIPubMed

Browse the whole library

Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.