Stevanie Carolina, Ariestiana Yossy Yoanita, Hendra Faqi Nurdiansyah, Anshar Muh, Boffano Paolo, Forouzanfar Tymour, Sukotjo Cortino, Kurniawan Sri Hastuti, Ruslin Muhammad
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia.
Department of Anatomy, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Maxillofac Plast Reconstr Surg. 2024 Jul 29;46(1):29. doi: 10.1186/s40902-024-00440-x.
Orthognathic surgery (OGS) is a highly sophisticated surgical technique that aims to repair a variety of skeletal and dental abnormalities, including misaligned jaws and teeth. It requires precise preoperative preparation and advanced surgical skills, which are typically learned through years of practical experience in operating rooms or laboratory-based surgical training facilities utilizing cadavers or models. The traditional physical hands-on method of surgical training is still used at OGS. However, this method requires a longer time of preparation. Currently, mixed reality (MR)-a combination of virtual reality and augmented reality technology-is an innovation of OGS. The present study aimed to present a comprehensive review of studies that assessed the advantages of utilizing mixed reality technology in OGS.
A modified Population, Intervention, Comparison, Outcome strategy was performed using a combination of electronic (PubMed, Cochrane, Embase) and manual searches between 2013 and 2023 exploring mixed reality (MR) technology in OGS in the last 10 years. The inclusion criteria were limited to the patient and study model focusing on the clinical application of MR and the associated field of OGS.
The initial search indicated 1731 studies, of which 17 studies were included for analysis. The main results indicated that the use of MR technology in OGS led to high accuracy and time reduction as primary outcomes and cost-effectiveness and skill improvement as secondary outcomes. The review firmly concluded that MR technology exhibited a positive impact on students, trainees, and oromaxillofacial surgeons. However, due to the heterogeneity of the included studies, meta-analyses could not be performed. Collectively, these findings provide strong evidence for the advantages of MR technology in orthognathic surgery.
MR technology significantly improves OGS planning efficiency by providing pre-surgical information and serving as an intraoperative navigation tool, reducing surgical time without compromising outcomes. Virtual training using MR technology exerts a positive impact on knowledge and skill improvement for OGS. This innovative technology will revolutionize the healthcare system and enhance patient care.
正颌外科手术（OGS）是一种高度复杂的外科技术，旨在修复各种骨骼和牙齿异常，包括颌骨和牙齿排列不齐。它需要精确的术前准备和先进的手术技能，这些通常是通过在手术室多年的实践经验或利用尸体或模型的基于实验室的外科培训设施来学习的。OGS目前仍采用传统的实体动手手术训练方法。然而，这种方法需要更长的准备时间。目前，混合现实（MR）——虚拟现实和增强现实技术的结合——是OGS的一项创新。本研究旨在全面综述评估在OGS中使用混合现实技术优势的研究。
采用改良的人群、干预、对照、结局策略，结合电子检索（PubMed、Cochrane、Embase）和手动检索，对2013年至2023年期间过去10年在OGS中探索混合现实（MR）技术的研究进行检索。纳入标准仅限于关注MR临床应用及OGS相关领域的患者和研究模型。
初步检索显示1731项研究，其中17项研究纳入分析。主要结果表明，在OGS中使用MR技术导致以高精度和时间减少为主要结果，以成本效益和技能提升为次要结果。该综述坚定地得出结论，MR技术对学生、实习生和口腔颌面外科医生产生了积极影响。然而，由于纳入研究的异质性，无法进行荟萃分析。总体而言，这些发现为MR技术在正颌外科手术中的优势提供了有力证据。
MR技术通过提供术前信息并作为术中导航工具，显著提高了OGS规划效率，在不影响手术结果的情况下减少了手术时间。使用MR技术的虚拟训练对OGS的知识和技能提升产生了积极影响。这项创新技术将彻底改变医疗保健系统并改善患者护理。
