Division of Plastic Surgery, Mayo Clinic, Rochester, MN.
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN.
Aesthet Surg J. 2020 Aug 14;40(9):1022-1034. doi: 10.1093/asj/sjz328.
The use of eye-tracking technology in plastic surgery has gained popularity over the past decade due to its ability to assess observers' visual preferences in an objective manner.
The goal of this study was to provide a comprehensive review of eye-tracking studies in plastic and reconstructive surgery, which can aid in the design and conduct of high-quality eye-tracking studies.
Through application of Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) guidelines, a comprehensive search of articles published on eye-tracking across several databases was conducted from January 1946 to January 2019. Inclusion criteria included studies evaluating the use of eye-tracking technology in the field of plastic and reconstructive surgery. The resulting publications were screened by 2 independent reviewers.
A total of 595 articles were identified, 23 of which met our inclusion criteria. The most common application of eye-tracking was to assess individuals with cleft lip/palate (9 studies). All 19 studies that evaluated fixation patterns among conditions vs controls reported significant differences between the 2 groups. Five out of 7 studies assessing visual data between preoperative and postoperative patients identified significant differences between the preoperative and postoperative groups, whereas 2 studies did not. Nine studies examined the relation between severity indices, attractiveness scores, or personality ratings and gaze patterns. Correlation was found in 7 out of the 9 studies.
This systematic review demonstrates the utility of eye-tracking technology as a quantifiable objective assessment and emerging research tool for evaluating outcomes in several domains of plastic and reconstructive surgery.
过去十年，眼动追踪技术在整形外科学领域的应用越来越受欢迎，因为它能够客观地评估观察者的视觉偏好。
本研究旨在对整形和重建外科的眼动追踪研究进行全面综述，为高质量眼动追踪研究的设计和开展提供参考。
通过应用系统评价和荟萃分析的首选报告项目（PRISMA）指南，对从 1946 年 1 月至 2019 年 1 月在多个数据库中发表的关于眼动追踪的文章进行了全面检索。纳入标准包括评估眼动追踪技术在整形和重建外科领域应用的研究。由 2 名独立评审员筛选出的研究结果。
共确定了 595 篇文章，其中 23 篇符合纳入标准。眼动追踪最常见的应用是评估唇腭裂患者（9 项研究）。所有 19 项评估条件下与对照组之间注视模式的研究都报告了两组之间存在显著差异。在评估术前和术后患者之间的视觉数据的 7 项研究中有 5 项确定了术前和术后组之间存在显著差异，而有 2 项研究没有。有 9 项研究探讨了严重程度指数、吸引力评分或人格评定与注视模式之间的关系。在 9 项研究中有 7 项研究发现了相关性。
本系统综述表明，眼动追踪技术作为一种可量化的客观评估方法，以及评估整形和重建外科几个领域结果的新兴研究工具具有一定的应用价值。
