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Journal of Maxillofacial and Oral Surgery
Erschienen in:

08.01.2024 | REVIEW PAPER

Virtual Versus Conventional Planning in Orthognathic Surgery: A Systematic Review and Meta-analysis

verfasst von: Guilherme Strujak, Daniel Amaral Alves Marlière, Yuri de Lima Medeiros, Odilon Guariza Filho, João Luiz Carlini, Vânia Portela Ditzel Westphalen

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 2/2024

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Abstract

Objectives

The purpose of this study was to compare the accuracy of hard tissues movements planned to result of the maxillary and mandibular positions between conventional surgical planning (CSP) and virtual surgical planning (VSP) in patients undergoing orthognathic surgery.

Methods

A systematic electronic search was carried out in six databases and gray literature with no restriction of publication date and language. Clinical observational studies that compared accuracy of maxillary position between CSP and VSP were included. Linear measurements of the mandible in the transverse plane and linear measurements of the maxilla in the vertical, horizontal and transverse planes were considered for analysis, comparing planned to postoperative outcomes of CSP and VSP. Cochrane tool was used to assess bias risk. A meta-analysis was performed to summarize similar results by using the Review Manager 5.3 software. Significance level was set at 5%.

Results

Six studies (2 RCT and 4 retrospective cohorts) were included according to inclusion and eligibility criteria, involving 255 patients. The inter-rater reliability of selection and eligibility was excellent (k = 0.8315 and k = 0.9329, respectively). Two studies presented that VSP seemed to have better results than CSP regarding linear measurements of the mandible in the transverse plane. Results from CSP and VSP were similar in accuracy for hard tissue in vertical plane of maxillary position (I2 = 0%; p = 0.17), although VSP was more accurate in horizontal plane (I2 = 0%; p = 0.02).

Conclusion

VSP presented better accuracy for transverse movements in mandible of asymmetric patients. VSP showed to be more accurate for movements in the horizontal plane, and qualitative analysis seemed to be more effective for transverse movements.
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Metadaten
Titel
Virtual Versus Conventional Planning in Orthognathic Surgery: A Systematic Review and Meta-analysis
verfasst von
Guilherme Strujak
Daniel Amaral Alves Marlière
Yuri de Lima Medeiros
Odilon Guariza Filho
João Luiz Carlini
Vânia Portela Ditzel Westphalen
Publikationsdatum
08.01.2024
Verlag
Springer India
Erschienen in
Journal of Maxillofacial and Oral Surgery / Ausgabe 2/2024
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-023-02091-3

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