Angie Brown BBC Scotland, Edinburgh and East reporter

Holographic Surgery: A New Era for Facial Nerve Procedures

In a landmark moment for elective surgery and surgical visualization, Scotland became the first to use real-time holographic technology during a facial nerve tumor removal in December 2024. This innovation marks a major advancement in procedures involving high-risk, delicate nerve pathways—particularly in the head and neck.

The holographic system provided surgeons with immersive 3D visualizations of both the tumor and the facial nerve structures, helping them see what standard imaging couldn’t fully capture. Instead of relying only on flat MRI or CT scans on screens, the team could now "walk around" the anatomy in 3D space, gaining new levels of spatial awareness before and during the operation.

Iain Nixon, who performed the surgery, said he expected the "exciting" and pioneering technique would be common practice in the future.


💡 Why This Matters for Patients

Elective procedures near the facial nerve—such as tumor excisions, nerve decompression, or even advanced cosmetic surgeries—are notoriously complex. The risk of facial paralysis, asymmetry, or sensory loss is significant when millimeter-level decisions are made with limited visibility.

Holographic tech changes that.

  • Minimized Risk of Nerve Damage: Surgeons can better distinguish between tumor margins and nerve fibers.
  • Improved Planning: Virtual mapping of the patient's unique anatomy allows personalized surgical strategies.
  • More Confidence in Complex Cases: Especially important in reoperations or for patients with prior complications.
  • Shorter Surgeries, Better Outcomes: Improved visualization can lead to faster procedures and reduced trauma.

Dr. Jonathan Cowie, consultant ENT surgeon in Scotland, called it "a transformative leap in safety and accuracy," especially for areas where millimeters matter.


🔍 What’s Next?

While still in early use, experts believe this kind of augmented reality and holographic imaging will soon become standard in many types of elective head, neck, and brain surgeries, as well as plastic and reconstructive procedures.

From facial feminization to nerve-sparing tumor removals, the potential is vast—and it signals a future where surgeries are not only safer but smarter.


🌍 FlytoDoc Insight

At FlytoDoc, we’re tracking the world’s most advanced surgical technologies to connect patients with the right specialists—especially for elective procedures where precision means everything.

If you're exploring options for facial tumor removal, reconstructive surgery, or advanced ENT procedures, our global network can guide you to clinics using state-of-the-art tools like this holographic system.



Source:
Original Article – BBC News: “Holographic Tech Used in Tumor Surgery in Scotland”