SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)

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SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
SEF Project in Oral and Maxillofacial
               Surgery (Smart videosurgery, Easy
               teleteaching and Fast teleassistance)
                                          Alessandro Tel, MD

                    Alessandro Tel1, Federico Bortuzzo2, Fabio Costa1, Salvatore
                        Sembronio1, Vittorio Bresadola3, Massimo Robiony1

               1   Maxillofacial Surgery Department, University of Udine, Italy
               2   CEO, BlueDigit Informatics, italy
               3   General Surgery Department, University of Udine, Italy

26 settembre
2018
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
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SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
logo               Methods:

                             SEF   Project     is   designed   to   provide   an   integrated
destinatari del lavoro       telemedicine solution for telementoring, telesurgery and
                             teleassistance.
                             SEF Project optimizes the potential of widely available
a
                             devices, such as smartphones and tablets, and implements
                             Kramer® technology in order to support multiple video
                             streams, which are transmitted to an interactive touchscreen
                             whiteboard, located in remote spaces, such as meeting
                             rooms and university classrooms.
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
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       SEF Project allows to reproduce each
       video stream on a separate screen
       space. Therefore, many cameras can
       simultaneously transmit up to 12
       parallel channels. The integration with
       VIA Kramer® software allows to mirror
       digital contents from PC and Mac, such
       as   imaging   data,   virtual   surgical
       plannings, endoscopic procedures. Such
       a virtual environment has a high
       teaching efficacy for students and
       residents.
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
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       A virtual LAN (VLAN) consists of any
       broadcast domain being partitioned and
       isolated in a computer network at the data
       link layer. LAN is the acronym for local area
       network and in this context virtual refers to
       a physical object recreated and altered by
       additional logic. VLANs work by applying
       tags to network packets and handling these
       tags in networking systems – creating the
       appearance and functionality of network
       traffic that is physically on a single network
       but acts as if it is split between separate
       networks.
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
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                     IWB - INTERACTIVE
                       WHITHBOARD

                                         Presentation switcher                                  Descrizione
        IWB - INTERACTIVE
          WHITHBOARD

                                                                   Il progetto SEF presenta una soluzione di
                                                                   telemedicina integrata volta a fornire una
                                                                   piattaforma all’avanguardia per teledidattica,
                                                                   telechirurgia e teleassistenza. Concepito per
    Interactive flat panel                                          ottimizzare le potenzialità   di dispositivi quali
                                                                                    Operating room
                                                                   smartphone e tablet, il progetto SEF
                                                                   implementa tecnologie per la gestione di
                                                                   multipli flussi video che vengono trasmessi a
                                                                   una lavagna interattiva multimediale,
                                                                   posizionata in una sala riunioni remota e
                                                           Network switcher (VLAN)
                                                                   destinata alla discussione di casi complessi,
                                                                   nonché all’apprendimento degli studenti di
                                                                   medicina. Mediante l’utilizzo della rete
                                                                   regionale, è possibile estendere la
                                                                   comunicazione ad ospedali e cliniche per
                                                                   amplificare il lavoro in team. L’adozione di
                                                                   tecnologie cloud consente la comunicazione
                                                                   con il paziente postchirurgico a casa, ma
                                                                   anche l’identificazione precoce di lesioni
                                                                   suscettibili di maggiore attenzione clinica, e un
                                                                   mutuo feedback tra clinici e assistiti.

multiple visualisation supports, each one located in a dif  ferent room, building or hospital. For
instance, surgery can be displayed in real time at university during maxillofacial surgery classes.
Moreover, VIA Campus adds the support for third part meeting applications. This interface ena-

places at the same time.
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
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SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
logo   Results:

                       In all surgeries performed, the application of SEF
a                      protocol was successful. Image quality was high,
 i
 i                     with 4K resolution, no flickering or interruptions
a
n                      happened. 4K added minor latency if compared with
o
                       fullHD.
o
r                      Surgeries were safer because of inferior infectious
o                      risk, being teletransmission of surgery useful to
a
a                      decrease the number of personnel and students in
e
a                      the operating room.
e
 i                     Students’ appraisal was estimated using a score,
                       which was calculated from precise questions (see
                       side table). Final satisfaction score was 9/10.
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
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                                                      Conclusions:

The flexibility of SEF Project is suitable for multiple purposes:

   Residents can have a real-time feedback during their surgical apprenticeship

   Students have an optimized visualization of operating field when they assist surgical procedures, at the same time
    improving comfortability of the surgical environment

   Postsurgical patients can benefit from more intense post-surgical follow-up, with advantages for patients that are unable to
    move and a higher eco-sustainability

   Team-work between more centers is improved by remote telesurgery

   All the mentioned features can be achieved with minimal installation effort and low cost. As SEF Project is based upon
    ubiquitary technologies, pre-existing resources are employed and little investment is necessary. However, if more
    sofisticated technologies are available, they can be interfaced with SEF Project in an integrated setting.
SEF Project in Oral and Maxillofacial Surgery (Smart videosurgery, Easy teleteaching and Fast teleassistance)
logo
trasmissione fullHD ha ottenuto un’immagine di                                                Paper accepte
alta qualità e fluida. Non si sono verificati
                                                                              “SEF Project in Oral and M
fenomeni di flickering o interruzioni. La
       logo
trasmissione è stata eseguita anche in
risoluzione 4K, con latenze aumentate rispetto
al fullHD.
L’intervento chirurgico è risultato più sicuro
anche dal punto di vista del rischio infettivo per
il minor personale in sala operatoria.
L’apprezzamento da parte degli studenti è stato
valutato con un questionario a 10 punti che ha
consentito
 Abstract      di quantificare
               accepted         la percezione- della
                           forcongress
                               publication     24th  Congress      of the European      Association
            Presented at 24th
teledidattica. Sommando i risultati    European Association
                                              nelle         for Cranio-Maxillo-Facial Surgery, Munich for Cra
esperienze realizzate, lo score conclusivo risulta
pari a 9/10, denotando un grande interesse
anche da parte della popolazione degli
studenti.

        Awarded as the best project for “Functional Projects” Category at 18th AIIC Challenge, Rome

                                                                                                      Official
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       Contacts
       Project coordinator:
       Prof. Massimo Robiony, Chair of Maxillofacial Surgery Clinic, University of
       Udine
       massimo.robiony@uniud.it

       Technical Advisor:
       Federico Bortuzzo, BlueDigit Informatics
       info@bortuzzo.com

       Scientific Advisor:
       Dott. Alessandro Tel, Maxillofacial Surgery Resident, University of Udine
       alessandro.tel@icloud.com
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