Gaber Ramy M, Shaheen Eman, Falter Bart, Araya Sebastian, Politis Constantinus, Swennen Gwen R J, Jacobs Reinhilde
Assistant Lecturer and Doctoral Student, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt, and Research Fellow, OMFS-IMPATH Research Group, Department of Imaging and Pathology, Catholic University of Leuven, Leuven, Belgium.
Clinical engineer, OMFS-IMPATH research group, Department of Imaging and Pathology, Catholic University of Leuven & Department of Oral and Maxillofacial Surgery, University Hospital of Leuven, Leuven, Belgium.
J Oral Maxillofac Surg. 2017 Nov;75(11):2430-2440. doi: 10.1016/j.joms.2017.05.025. Epub 2017 Jun 1.
The aim of this study was to systematically review methods used for assessing the accuracy of 3-dimensional virtually planned orthognathic surgery in an attempt to reach an objective assessment protocol that could be universally used.
A systematic review of the currently available literature, published until September 12, 2016, was conducted using PubMed as the primary search engine. We performed secondary searches using the Cochrane Database, clinical trial registries, Google Scholar, and Embase, as well as a bibliography search. Included articles were required to have stated clearly that 3-dimensional virtual planning was used and accuracy assessment performed, along with validation of the planning and/or assessment method. Descriptive statistics and quality assessment of included articles were performed.
The initial search yielded 1,461 studies. Only 7 studies were included in our review. An important variability was found regarding methods used for 1) accuracy assessment of virtually planned orthognathic surgery or 2) validation of the tools used. Included studies were of moderate quality; reviewers' agreement regarding quality was calculated to be 0.5 using the Cohen κ test.
On the basis of the findings of this review, it is evident that the literature lacks consensus regarding accuracy assessment. Hence, a protocol is suggested for accuracy assessment of virtually planned orthognathic surgery with the lowest margin of error.
本研究旨在系统回顾用于评估三维虚拟计划正颌手术准确性的方法，以达成一种可普遍使用的客观评估方案。
以PubMed作为主要搜索引擎，对截至2016年9月12日发表的现有文献进行系统回顾。我们还使用Cochrane数据库、临床试验注册库、谷歌学术和Embase进行二次检索，并进行文献目录检索。纳入的文章需明确说明使用了三维虚拟计划并进行了准确性评估，以及计划和/或评估方法的验证。对纳入文章进行描述性统计和质量评估。
初步检索得到1461项研究。我们的综述仅纳入了7项研究。在用于1）虚拟计划正颌手术准确性评估或2）所用工具验证的方法方面发现了重要差异。纳入研究质量中等；使用Cohen κ检验计算得出，评审者在质量方面的一致性为0.5。
基于本综述的结果，显然文献在准确性评估方面缺乏共识。因此，建议采用一种误差最小的虚拟计划正颌手术准确性评估方案。
