虚拟手术规划对正颌外科的影响：两个专业的贡献。
The Impact of Virtual Surgical Planning on Orthognathic Surgery: Contributions From Two Specialties.
机构信息
Department of Plastic & Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Division of Plastic and Reconstructive Surgery, University of Pennsylvania, Philadelphia, PA.
出版信息
J Craniofac Surg. 2022;33(5):1418-1423. doi: 10.1097/SCS.0000000000008607. Epub 2022 Mar 8.
BACKGROUND
Virtual surgical planning (VSP) has gained popularity for preoperative orthognathic surgery planning and is increasingly being employed by surgeons trained in plastic and reconstructive surgery (PRS) or oral and maxillofacial surgery (OMS). This review assesses the introduction of VSP as a new technology and its impact on orthognathic surgery research and practices based upon surgeon training.
METHODS
Two PubMed literature reviews were conducted. The first classified publications on VSP for orthognathic surgery by training (OMS- or PRS-trained surgeons) and compared focuses, timing, and journals of publications from each group of surgeons. The second evaluated how orthognathic surgery publication volumes changed with VSP introduction. English articles published from inception until January 2020 (first review) and November 2020 (second review) were included.
RESULTS
The first literature review retrieved 419 unique publications, with 188 studies selected for inclusion: 162 were published by OMS-trained principal investigators (OMS-authored) and 26 by PRS-trained principal investigators (PRS-authored). Plastic and reconstructive surgery-authored publications regarding VSP use in orthognathic surgery increased after the first publication in 2000, but at a significantly slower rate (0.2 new publications/year) than OMS-authored publications ( P < 0.01). Aesthetics was discussed in significantly more PRS-authored publications (76.9% compared to 28.4% of OMS-authored publications). The second review revealed that over 80.6% of orthognathic surgery literature was published after 2008, the year VSP was first integrated into orthognathic surgery workflow.
CONCLUSIONS
Following the introduction of VSP, orthognathic surgery research output has differed between PRS and OMS based on publication speed, volume, and research focuses.Further research is necessary to evaluate how VSP has impacted PRS and OMS clinical practice.
背景
虚拟手术规划（VSP）在正颌术前规划中越来越受欢迎，并且越来越多地被接受过整形和重建外科（PRS）或口腔颌面外科（OMS）培训的外科医生使用。本研究评估了 VSP 作为一种新技术的引入及其对基于外科医生培训的正颌手术研究和实践的影响。
方法
进行了两次 PubMed 文献综述。第一篇根据培训（OMS 或 PRS 培训的外科医生）对正颌手术的 VSP 出版物进行分类，并比较了每组外科医生的研究重点、时间和出版物期刊。第二篇评估了 VSP 引入后正颌手术出版物数量的变化。纳入从成立到 2020 年 1 月（第一次综述）和 2020 年 11 月（第二次综述）发表的英文文章。
结果
第一篇文献综述检索到 419 篇独特的出版物，其中有 188 项研究被纳入：162 项研究由 OMS 培训的主要研究者（OMS 作者）发表，26 项由 PRS 培训的主要研究者（PRS 作者）发表。PRS 作者发表的关于 VSP 在正颌手术中的应用的出版物在 2000 年第一篇出版物之后有所增加，但速度明显较慢（每年 0.2 篇新出版物），低于 OMS 作者的出版物（P<0.01）。在 PRS 作者的出版物中，更多的讨论了美学问题（76.9%比 OMS 作者的出版物中讨论了 28.4%）。第二次综述显示，超过 80.6%的正颌外科文献是在 2008 年 VSP 首次纳入正颌手术工作流程之后发表的。
结论
在 VSP 引入之后，基于发表速度、数量和研究重点，PRS 和 OMS 之间的正颌外科研究产出有所不同。需要进一步研究来评估 VSP 如何影响 PRS 和 OMS 的临床实践。
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