Table 1.
Case Characteristics
Case no. | Surgical procedure | Histology | Frozen section margin analysis | Turn‐around time, min | AR‐guided intraoperative consultation | Final margin status |
---|---|---|---|---|---|---|
1 | Hemiglossectomy | SCC |
NEGATIVE Anterior tongue (−) 7 mm from margin Lateral tongue (−) |
18 | Discussion of specimen orientation/margin sampling sites using 3D hologram. |
NEGATIVE Closest margin: lateral, 6 mm. |
2 | Floor of mouth excision | SCC |
NEGATIVE Ventral tongue (−): focal severe dysplasia Dorsal tongue (−): focal severe dysplasia Anterior tongue (−) Mandibular alveolar ridge (−) |
36 | Discussion of specimen orientation/margin sampling sites using 3D hologram. |
NEGATIVE All resection margins negative for malignancy. |
3 | Floor of mouth excision | SCC |
POSITIVE Anterior mucosal (+): papillary SCC at margin Lateral mandibular alveolar ridge (−) |
26 | Discussion of specimen orientation/margin sampling sites using 3D hologram. |
NEGATIVE Anterior re‐resection negative for malignancy. |
4 | Upper lip resection, partial rhinectomy | Basosquamous carcinoma |
NEGATIVE Nasal septal (−) Nasal floor (−) Upper lip and nose (−) |
37 |
Discussion of 2 perpendicular and 1 shave margin sites. Displayed 3D mapped specimen. Displayed 2D H&E image of closest margin (upper lip). |
POSITIVE Focally positive along superomedial aspect adjacent to the nares/inferior nose. |
5 | Partial rhinectomy, medial maxillectomy | SCC |
NEGATIVE L cheek (−) L upper lip (−) L columella (−) L nasal mucosal (−) |
34 |
Discussion of 4 perpendicular margin sites using 3D mapped specimen. Displayed 2D H&E image of L cheek margin and discussed no further need for re‐excision. |
NEGATIVE Closest margin: anterior, 4 mm |
6 | Frontal scalp resection | Pleomorphic dermal sarcoma |
NEGATIVE R medial (−) L lateral (−) Anterior (−) Posterior (−) |
36 |
Discussion of tumor biopsy. Discussion of 4 perpendicular margin sites using 3D mapped specimen. Displayed 2D H&E image of L lateral margin, which had evidence of actinic changes. |
NEGATIVE All resection margins negative for sarcoma. |
7 | Wide local excision of preauricular lesion | Atypical fibroxanthoma |
NEGATIVE Anterior ear (−) Helical root (−) Ear canal (−) Preauricular deep (−) |
32 |
Discussion of tumor biopsy. Discussion of 4 perpendicular margin sites using 3D mapped specimen. Displayed 2D H&E image of helical root margin, which was negative for malignancy and had evidence of solar elastoses. |
NEGATIVE All resection margins negative for malignancy. |
8 | Subtotal glossectomy | SCC |
NEGATIVE Lateral (−) Posterior (−) |
31 |
Discussion of tumor biopsy. Discussion of 2 perpendicular margin sites using 3D mapped specimen. Displayed 2D H&E image of lateral margin, which was negative for malignancy. |
NEGATIVE Closest margin: lateral, 4 mm |
Abbreviations: 2D, 2‐dimensional; 3D, 3‐dimensional; AR, augmented reality; H&E, hematoxylin and eosin; L, left, R, right; SCC, squamous cell carcinoma.