Abstract:
Craniomaxillofacial (CMF) surgery is a challenging and very demanding field that involves the treatment of congenital and acquired conditions of the face and head. Due to the complexity of the head and facial region, various tools and techniques were developed and utilized to aid surgical procedures and optimize results. Virtual Surgical Planning (VSP) has revolutionized the way craniomaxillofacial surgeries are planned and executed. It uses 3D imaging computer software to visualize and simulate a surgical procedure. Numerous studies were published on the usage of VSP in craniomaxillofacial surgery. However, the researchers found inconsistency in the previous literature which prompted the development of this review. This paper aims to provide a comprehensive review of the findings of the studies by conducting an integrated approach to synthesize the literature related to the use of VSP in craniomaxillofacial surgery. Twenty-nine related articles were selected as a sample and synthesized thoroughly. These papers were grouped assigning to the four subdisciplines of craniomaxillofacial surgery: orthognathic surgery, reconstructive surgery, trauma surgery and implant surgery. The following variables - treatment time, the accuracy of VSP, clinical outcome, cost, and cost-effectiveness - were also examined. Results revealed that VSP offers advantages in craniomaxillofacial surgery over the traditional method in terms of duration, predictability and clinical outcomes. However, the cost aspect was not discussed in most papers. This structured literature review will thus provide current findings and trends and recommendations for future research on the usage of VSP in craniomaxillofacial surgery.
摘要:
颅颌面(CMF)手术是一个具有挑战性且要求很高的领域,涉及面部和头部的先天性和获得性疾病的治疗。由于头部和面部区域的复杂性,开发并利用各种工具和技术来辅助外科手术和优化结果。虚拟手术计划(VSP)彻底改变了计划和执行颅颌面手术的方式。它使用3D成像计算机软件来可视化和模拟外科手术。关于VSP在颅颌面外科中的使用已发表了许多研究。然而,研究人员在以前的文献中发现了不一致,这促使了这篇综述的发展。本文旨在通过采用综合方法综合与VSP在颅颌面外科中使用相关的文献,对研究结果进行全面综述。选择了29篇相关文章作为样本,并进行了彻底的合成。这些论文被分组为颅面外科的四个分支学科:正颌外科,重建手术,创伤手术和植入手术。以下变量-治疗时间,VSP的准确性,临床结果,成本,和成本效益-也进行了检查。结果表明,与传统方法相比,VSP在颅面手术中具有优势,可预测性和临床结果。然而,大多数论文都没有讨论成本方面。因此,这篇结构化的文献综述将为未来在颅颌面外科中使用VSP的研究提供当前的发现和趋势以及建议。