Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 1/2024

02-11-2022 | Original Article

3-dimensional analysis of nasal soft tissue alterations following maxillary Lefort I advancement with and without impaction using 3D photogrammetry scanner

Authors: Hamoun Sabri, Azita Tehranchi, Farzin Sarkarat

Published in: Oral and Maxillofacial Surgery | Issue 1/2024

Login to get access

Abstract

Purpose

This study was designed to investigate the changes in nasal soft tissue following maxillary Lefort I advancement with and without impaction in subjects presenting a skeletal class III malocclusion, using a 3D photogrammetry scanner.

Materials and methods

Patients with class III malocclusion undergoing Lefort I advancement with and without impaction and bilateral sagittal split osteotomy with the standard technique were included in this study. Patients were divided into two groups: maxillary Lefort I advancement alone (group 1) and combined with impaction (group 2). Facial soft tissue landmarks of the nose including nasal height (NH), nasal length (NL), nasal tip projection (NTP), alar width (AW), alar base width (ABW), subalar width (Sbal), nasolabial angle (NLA), nasofrontal angle (NFA), and columella inclination (CI) before and at least 4 months after surgery were obtained by a 3D scanner.

Results

Twenty-one patients were included in this study (Group 1: 11 and Group 2: 10). NH, NTP, and NL decreased significantly in both groups following surgery. In addition, Sbal decreased only in group 2. On the other hand, NLA and CI increased significantly in group 2. The inter-group comparison revealed a statistically significant difference in the alterations in NH, NL, and CI between the two groups.

Conclusion

Changes in the nose soft tissue occurred after both surgeries, but their type and extent were different. Actions taken to reduce unwanted changes need to be further investigated. To evaluate the changes, 3D photogrammetry scan is a feasible imaging technique that can be used, providing numerous benefits.
Appendix
Available only for authorised users
Literature
1.
Jeong HI, Lee HS, Jung YS, Park HS, Jung HD (2017) Nasal soft tissue change following bimaxillary orthognathic surgery. J Craniofac Surg 28(7):e605–e608CrossRefPubMed
2.
Hemmatpour S, Kadkhodaei Oliadarani F, Hasani A, Rakhshan V (2016) Frontal-view nasolabial soft tissue alterations after bimaxillary orthognathic surgery in Class III patients. J Orofac Orthop 77(6):400–408CrossRefPubMed
3.
4.
Mommaerts MY, Lippens F, Abeloos JV, Neyt LF (2000) Nasal profile changes after maxillary impaction and advancement surgery. J Oral Maxillofac Surg 58(5):470–5 (discussion 5-6)CrossRefPubMed
5.
Vasudavan S, Jayaratne YSN, Padwa BL (2012) Nasolabial soft tissue changes after Le Fort I advancement. J Oral Maxillofac Surg 70(4):e270–e277CrossRefPubMed
6.
Atakan A, Özçırpıcı AA (2021) Correlation between cephalometric nasal changes and patients’ perception after orthognathic surgery. Am J Orthod Dentofac Orthop 159(6):e449–e460CrossRef
7.
Sabri H, Sarkarat F, Aghajani D (2021) Review of nasal soft tissue alterations in class III malocclusion patients following Lefort I Osteotomy. Res-Dent-Sci 18(4):302–310CrossRef
8.
Zhao YJ, Xiong YX, Wang Y (2017) Three-dimensional accuracy of facial scan for facial deformities in clinics: a new evaluation method for facial scanner accuracy. PLoS ONE 12(1):e0169402CrossRefPubMedPubMedCentral
9.
Koban KC, Giunta RE (2016) Using mobile 3D scanning systems for objective evaluation of form, volume, and symmetry in plastic surgery: intraoperative scanning and lymphedema assessment. In: Proc. of 7th Int. Conf. on 3D Body Scanning Technologies, Lugano. https://​doi.​org/​10.​15221/​16.​130
10.
11.
12.
Worasakwutiphong S, Chuang Y-F, Chang H-W, Lin H-H, Lin P-J, Lo L-J (2015) Nasal changes after orthognathic surgery for patients with prognathism and Class III malocclusion: analysis using three-dimensional photogrammetry. J Formos Med Assoc 114(2):112–123CrossRefPubMed
13.
Nkenke E, Langer A, Laboureux X, Benz M, Maier T, Kramer M et al (2003) Validation of in vivo assessment of facial soft-tissue volume changes and clinical application in midfacial distraction: a technical report. Plast Reconstr Surg 112(2):367–380CrossRefPubMed
14.
Coban G, Yavuz I, Karadas B, Demirbas AE (2020) Three-dimensional assessment of nasal changes after maxillary advancement with impaction using stereophotogrammetry. Korean J Orthodont 50(4):249–257CrossRef
15.
Maal TJ, van Loon B, Plooij JM, Rangel F, Ettema AM, Borstlap WA et al (2010) Registration of 3-dimensional facial photographs for clinical use. J Oral Maxillofac Surg 68(10):2391–2401CrossRefPubMed
16.
17.
Ghorbanyjavadpour F, Rakhshan V (2019) Factors associated with the beauty of soft-tissue profile. Am J Orthod Dentofac Orthop 155(6):832–843CrossRef
18.
Gill DS, Lloyd T, East C, Naini FB (2017) The facial soft tissue effects of orthognathic surgery. Facial Plast Surg 33(05):519–525CrossRefPubMed
19.
Farkas LG (1994) Examination. Anthropometry of the head and face. Raven Press, New York
20.
Metzler P, Sun Y, Zemann W, Bartella A, Lehner M, Obwegeser JA et al (2014) Validity of the 3D VECTRA photogrammetric surface imaging system for cranio-maxillofacial anthropometric measurements. Oral Maxillofac Surg 18(3):297–304CrossRefPubMed
21.
Lübbers H-T, Medinger L, Kruse A, Grätz KW, Matthews F (2010) Precision and accuracy of the 3dMD photogrammetric system in craniomaxillofacial application. J Craniofac Surg 21(3):763–767CrossRefPubMed
22.
Wong JY, Oh AK, Ohta E, Hunt AT, Rogers GF, Mulliken JB et al (2008) Validity and reliability of craniofacial anthropometric measurement of 3D digital photogrammetric images. Cleft Palate Craniofac J 45(3):232–239CrossRefPubMed
23.
Nkenke E, Vairaktaris E, Kramer M, Schlegel A, Holst A, Hirschfelder U et al (2008) Three-dimensional analysis of changes of the malar–midfacial region after LeFort I osteotomy and maxillary advancement. Oral Maxillofac Surg 12(1):5–12CrossRefPubMed
24.
Verzé L, Bianchi FA, Ramieri G (2014) Three-dimensional laser scanner evaluation of facial soft tissue changes after LeFort I advancement and rhinoplasty surgery: patients with cleft lip and palate vs patients with nonclefted maxillary retrognathic dysplasia (control group). Oral Surg Oral Med Oral Pathol Oral Radiol 117(4):416–423CrossRefPubMed
25.
Almukhtar A, Ayoub A, Khambay B, McDonald J, Ju X (2016) State-of-the-art three-dimensional analysis of soft tissue changes following Le Fort I maxillary advancement. Br J Oral Maxillofac Surg 54(7):812–817CrossRefPubMed
26.
Foroughi R, Khakbaz O, Maneshi M (2019) Middle and lower facial soft tissue changes after maxillary advancement through conventional or high Le Fort I osteotomy. J Craniomaxillofac Res 6(1):39–50
27.
Trevisiol L, Lanaro L, Favero V, Lonardi F, Vania M, D’Agostino A (2020) The effect of subspinal Le Fort I osteotomy and alar cinch suture on nasal widening. J Craniomaxillofac Surg 48(9):832–838CrossRefPubMed
28.
Ferrario VF, Sforza C, Schmitz JH, Santoro F (1999) Three-dimensional facial morphometric assessment of soft tissue changes after orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88(5):549–556CrossRefPubMed
29.
Liu X, Zhu S, Hu J (2014) Modified versus classic alar base sutures after LeFort I osteotomy: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 117(1):37–44CrossRefPubMed
30.
Trevisiol L, Lanaro L, Favero V, Lonardi F, Vania M, D’Agostino A (2020) The effect of subspinal Le Fort I osteotomy and alar cinch suture on nasal widening. J Cranio-Maxillofac Surg 48(9):832–838CrossRef
31.
Chen CY, Lin CC, Ko EW (2015) Effects of two alar base suture techniques suture techniques on nasolabial changes after bimaxillary orthognathic surgery in Taiwanese patients with class III malocclusions. Int J Oral Maxillofac Surg 44(7):816–822CrossRefPubMed
32.
Ryckman MS, Harrison S, Oliver D, Sander C, Boryor AA, Hohmann AA et al (2010) Soft-tissue changes after maxillomandibular advancement surgery assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 137(4 Suppl):S86-93CrossRefPubMed
33.
Lai H-C, Denadai R, Ho C-T, Lin H-H, Lo L-J (2020) Effect of Le Fort I maxillary advancement and clockwise rotation on the anteromedial cheek soft tissue change in patients with skeletal class III pattern and midface deficiency: a 3D imaging-based prediction study. J Clin Med 9(1):262CrossRefPubMedPubMedCentral
34.
Nagori H, Fattahi T (2017) Maxillary advancement surgery and nasolabial soft tissue changes. IOSR J Dent and Med Sci 3:23–29
35.
Marşan G, Cura N, Emekli U (2009) Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients. J Cranio-Maxillofac Surg 37(1):8–17CrossRef
36.
Freihofer Jr HPM (1977) Changes in nasal profile after maxillary advancement in cleft and non-cleft patients. J Maxillofac Surg 5:20–27CrossRefPubMed
37.
Conley RS, Boyd SB (2007) Facial soft tissue changes following maxillomandibular advancement for treatment of obstructive sleep apnea. J Oral Maxillofac Surg 65(7):1332–1340CrossRefPubMed
Metadata
Title
3-dimensional analysis of nasal soft tissue alterations following maxillary Lefort I advancement with and without impaction using 3D photogrammetry scanner
Authors
Hamoun Sabri
Azita Tehranchi
Farzin Sarkarat
Publication date
02-11-2022
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 1/2024
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-022-01121-7

Other articles of this Issue 1/2024

Oral and Maxillofacial Surgery 1/2024 Go to the issue

Research

Head and neck mucosal melanoma: radiological considerations and UK imaging guidelines

Review

Relationship between dental implant macro-design and osseointegration: a systematic review

Case Report

Pseudogout growing from the temporomandibular joint into the middle cranial fossa

Research

How does changing the vector of transport disc distraction affect the outcomes of surgery in patients of temporomandibular joint ankylosis with obstructive sleep apnea?

Research

The surgical outcomes of anterior segmental osteotomy in Asian skeletal class II patients

Original Article

Assessment of temporomandibular joint disc position and skeletal stability after bimaxillary surgery