Mindanao State University-Iligan Institute of Technology, Iligan City, The Philippines.
Zamboanga City Medical Center, Zamboanga City, The Philippines.
Comput Assist Surg (Abingdon). 2023 Dec;28(1):2271160. doi: 10.1080/24699322.2023.2271160. Epub 2023 Oct 20.
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.
颅颌面(CMF)手术是一个具有挑战性且要求极高的领域,涉及到面部和头部先天和后天疾病的治疗。由于头部和面部区域的复杂性,开发和利用了各种工具和技术来辅助手术过程并优化结果。虚拟手术规划(VSP)彻底改变了颅颌面手术的规划和执行方式。它使用 3D 成像计算机软件来可视化和模拟手术过程。大量研究发表了关于 VSP 在颅颌面手术中的应用。然而,研究人员发现先前文献中的不一致性,这促使他们开展了这项综述。本文旨在通过综合方法综合与 VSP 在颅颌面手术中的应用相关的文献,为研究结果提供全面的综述。选择了 29 篇相关文章作为样本进行了深入的综合分析。这些论文按颅颌面外科的四个亚专业分组:正颌外科、重建外科、创伤外科和植入物外科。还检查了以下变量——治疗时间、VSP 的准确性、临床结果、成本和成本效益。结果表明,VSP 在颅颌面手术中比传统方法具有在时间、可预测性和临床结果方面的优势。然而,大多数论文都没有讨论成本方面的问题。因此,这项结构化文献综述将提供有关 VSP 在颅颌面外科中应用的当前研究结果、趋势和建议。