PDF(Pubmed)
Abstract：
OBJECTIVE: To systematically review the literature for mid-sagittal plane establishment approaches to identify the most effective method for constructing the mid-sagittal plane for the evaluation of facial asymmetry.
METHODS: Six electronic databases (PubMed, Medline (via Ovid), EMBASE (via Ovid), Cochrane Library, Web of Science, and Scopus) and grey literature were searched for the studies that computed the mid-sagittal reference plane three-dimensionally, using a combination of MeSH terms and keywords. The methodological quality and the level of evidence for the included studies were analyzed using QUADAS-2 and GRADE, respectively.
RESULTS: The preliminary search yielded 6746 records, of which 42 articles that met the predefined inclusion criteria were included in the final analysis. All the included articles reported the construction of the mid-sagittal reference plane (MSP) using varied methods. The risk of bias and concerns regarding the applicability of the included studies were judged to be \'low\'. The level of evidence was determined to be \'low\' for the effectiveness of the technique and \'moderate\' for the ease of clinical applicability.
CONCLUSIONS: Despite methodological heterogeneity, this review substantiates the comparable efficacy of cephalometric and morphometric MSP construction methods. A fully automated morphometric MSP holds promise as a viable option for routine clinical use. Nevertheless, future prospective studies with an emphasis on the impact, accuracy, and clinical applicability of MSP construction techniques in cases of facial asymmetry are required.
CONCLUSIONS: The present review will assist clinicians in selecting the most suitable method for MSP construction, leading to improved treatment planning and ultimately more favorable treatment outcomes.
METHODS: Six electronic databases (PubMed, Medline (via Ovid), EMBASE (via Ovid), Cochrane Library, Web of Science, and Scopus) and grey literature were searched for the studies that computed the mid-sagittal reference plane three-dimensionally, using a combination of MeSH terms and keywords. The methodological quality and the level of evidence for the included studies were analyzed using QUADAS-2 and GRADE, respectively.
RESULTS: The preliminary search yielded 6746 records, of which 42 articles that met the predefined inclusion criteria were included in the final analysis. All the included articles reported the construction of the mid-sagittal reference plane (MSP) using varied methods. The risk of bias and concerns regarding the applicability of the included studies were judged to be \'low\'. The level of evidence was determined to be \'low\' for the effectiveness of the technique and \'moderate\' for the ease of clinical applicability.
CONCLUSIONS: Despite methodological heterogeneity, this review substantiates the comparable efficacy of cephalometric and morphometric MSP construction methods. A fully automated morphometric MSP holds promise as a viable option for routine clinical use. Nevertheless, future prospective studies with an emphasis on the impact, accuracy, and clinical applicability of MSP construction techniques in cases of facial asymmetry are required.
CONCLUSIONS: The present review will assist clinicians in selecting the most suitable method for MSP construction, leading to improved treatment planning and ultimately more favorable treatment outcomes.
摘要：
目的：系统回顾中矢状平面建立方法的文献，以确定构建中矢状平面以评估面部不对称的最有效方法。
方法：六个电子数据库(PubMed，Medline（通过Ovid），EMBASE（通过Ovid），科克伦图书馆,WebofScience,和Scopus）和灰色文献进行了三维计算中矢状参考平面的研究，使用MeSH术语和关键字的组合。采用QUADAS-2和GRADE对纳入研究的方法学质量和证据水平进行分析,分别。
结果：初步搜索产生了6746条记录，其中42篇符合预定纳入标准的文章被纳入最终分析.所有包含的文章都报告了使用各种方法构建中矢状参考平面（MSP）。对纳入研究的适用性的偏倚风险和担忧被判断为“低”。对于该技术的有效性，证据水平被确定为“低”，而对于临床适用性而言，证据水平被确定为“中等”。
结论：尽管方法上存在异质性，这篇综述证实了头颅测量和形态测量MSP构建方法的相当功效。全自动形态计量学MSP有望成为常规临床使用的可行选择。然而，未来的前瞻性研究，重点是影响，准确度,在面部不对称的情况下，MSP构造技术的临床适用性是必需的。
结论：本综述将帮助临床医生选择最合适的MSP构建方法，改善治疗计划，最终获得更有利的治疗结果。
方法：六个电子数据库(PubMed，Medline（通过Ovid），EMBASE（通过Ovid），科克伦图书馆,WebofScience,和Scopus）和灰色文献进行了三维计算中矢状参考平面的研究，使用MeSH术语和关键字的组合。采用QUADAS-2和GRADE对纳入研究的方法学质量和证据水平进行分析,分别。
结果：初步搜索产生了6746条记录，其中42篇符合预定纳入标准的文章被纳入最终分析.所有包含的文章都报告了使用各种方法构建中矢状参考平面（MSP）。对纳入研究的适用性的偏倚风险和担忧被判断为“低”。对于该技术的有效性，证据水平被确定为“低”，而对于临床适用性而言，证据水平被确定为“中等”。
结论：尽管方法上存在异质性，这篇综述证实了头颅测量和形态测量MSP构建方法的相当功效。全自动形态计量学MSP有望成为常规临床使用的可行选择。然而，未来的前瞻性研究，重点是影响，准确度,在面部不对称的情况下，MSP构造技术的临床适用性是必需的。
结论：本综述将帮助临床医生选择最合适的MSP构建方法，改善治疗计划，最终获得更有利的治疗结果。
