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The accuracy of soft tissue movement using virtual planning for non-syndromic facial asymmetry cases—a systematic review

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Abstract

The 3D prediction of post-operative changes is an inevitable tool for the surgical correction of facial asymmetry. The objective is to execute an evidence-based review answering the following question. Does the 3D virtual prediction planning draw reliable and accurate results in the surgical outcome related to the soft tissues of the face in facial asymmetry? This systematic review of the literature is based on the 3D soft tissue prediction planning of facial asymmetry correction to draw conclusions on the reliability and accuracy of these methods in the surgical outcome related to the soft tissues of the face. PubMed, Web of Science, Cochrane, and Ovid databases were adopted for the literature search. Studies published between years 2000 and 2020, aimed at the assessment of soft tissue predictions using software prediction packages for facial asymmetry, were selected. The Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) was applied. Quadas-2 tool was used for the qualitative evaluation of selected studies. Initial search yielded 248 articles. Twenty articles fulfilled the inclusion and exclusion criteria and selected for qualitative analysis. Finally, 12 articles were selected for quantitative analysis. The results indicate 3D imaging prediction methods provided more accurate information with less distortion for soft tissue prediction regardless of various softwares currently available. The prediction of soft tissue accuracy in facial asymmetry was less accurate in lower face regardless of the type of surgery for facial asymmetry. The mean prediction error was less than 2 mm.

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Acknowledgements

The authors are grateful to the Deanship of Scientific Research of King Saud University for the funding received through the Vice Deanship of Scientific research chairs no RG-1439-062. The authors would like to thank the faculty and staff of the department of maxillofacial surgery and CDRC (College of Dentistry Research Centre) of their respective institutions for their support and guidance in this study. We would like to express our gratitude and respect to Professor Dr A Ayoub, Head of Maxillofacial surgery, College of Dentistry, University of Glasgow for the guidance and support in this study.

Funding

The authors are grateful to the Deanship of Scientific Research, King Saud University for the funding received through the Vice-Deanship of Scientific Research Chairsno RG-1439–062.

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Authors and Affiliations

  1. Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, King Saud Bin Abdul Aziz University for Health Sciences, NGHA, Riyadh, Kingdom of Saudi Arabia

    Manju Roby Philip

  2. Department of Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia

    Randa AlFotawi

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  1. Manju Roby Philip
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Correspondence to Manju Roby Philip.

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Philip, M.R., AlFotawi, R. The accuracy of soft tissue movement using virtual planning for non-syndromic facial asymmetry cases—a systematic review. Oral Maxillofac Surg 27, 187–200 (2023). https://doi.org/10.1007/s10006-022-01059-w

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