HoloTrauma 3X Triadic AI Co reasoning for robot assisted emergency maxillofacial reconstruction.

Abstract

Maxillofacial trauma accounts for 8-12% of emergency department visits. Temporomandibular joint injuries and complex facial fractures are common causes of airway emergencies. Presently, no protocols exist to simultaneously evaluate airway patency, skeletal integrity, or occlusal function. We created HoloTrauma 3X, which uses vision-language models to comprehensively evaluate the occlusion-bone-airway triad in emergency settings. Evaluating HoloTrauma 3X on 8427 trauma patients, integrating publicly available datasets from 12 institutions and clinical data from three participating hospitals across three continents, resulted in an average absolute error of 0.42 mm for the maxilla and 0.38 mm for the mandible; 31.4% less time to complete the operation compared to standard techniques; and 42.3% fewer complications during surgery compared to conventional methods.