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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

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01-11-2016 | Original Article

Frontal-view nasolabial soft tissue alterations after bimaxillary orthognathic surgery in Class III patients

Authors: Siamak Hemmatpour, Fatemeh Kadkhodaei Oliadarani, Ali Hasani, Vahid Rakhshan

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2016

Abstract

Introduction

The aim of this before–after clinical trial was to evaluate nasolabial soft tissue changes in the frontal plane after bimaxillary surgery.

Methods

A total of 20 skeletal Class III Iranian patients needing bimaxillary Le Fort I osteotomy plus mandibular setback surgery were enrolled in this trial. Patients underwent 4.02 ± 1.02 mm of maxillary advancement (Le Fort I osteotomy, 4.33 ± 1.21 mm in men, 3.81 ± 0.86 mm in women) and 7.13 ± 1.74 mm of mandibular setback (intraoral vertical ramus osteotomy, 7.71 ± 2.33 mm in men, and 6.74 ± 1.16 mm in women). Data were acquired via 2D frontal photographs. We compared pretreatment baseline (T ₁), preoperative postorthodontic treatment (T ₂), and postoperative (T ₃) anthropometric measurements using repeated-measures ANOVA and Bonferroni tests (α = 0.05).

Result

The 20 patients (12 men, 8 women) were aged 21.85 ± 1.75 years. Between T ₁ and T ₂, nasal width, cutaneous upper labial heights increased overall; cutaneous lower labial height decreased (P < 0.05). Between T ₂ and T ₃, nasal width, widths of the philtrum and mouth, cutaneous upper-lip height, vermilion height of the lower lip, lateral upper-lip height increased; the upper-lip vermilion height and cutaneous lower lip height decreased (P < 0.05). The changes ranged between 0.5 and 5 mm.

Conclusion

The applied orthognathic surgery procedures might widen the alar base and mouth width. It might increase the lateral upper-lip height, vermilion height of the lower lip, and cutaneous and overall upper-lip heights while reducing upper-lip vermilion height and shortening the overall lower-lip height.

Altug-Atac AT, Bolatoglu H, Memikoglu UT (2008) Facial soft tissue profile following bimaxillary orthognathic surgery. Angle Orthod 78(1):50–57CrossRefPubMed

Baik HS, Kim SY (2010) Facial soft-tissue changes in skeletal Class III orthognathic surgery patients analyzed with 3-dimensional laser scanning. Am J Orthod Dentofacial Orthop 138(2):167–178CrossRefPubMed

Blockhaus M, Kochel J, Hartmann J et al (2014) Three-dimensional investigation of facial surface asymmetries in skeletal malocclusion patients before and after orthodontic treatment combined with orthognathic surgery. J Orofac Orthop 75(2):85–95CrossRefPubMed

Brooks BW, Buschang PH, Bates JD et al (2001) Predicting upper lip response to 4-piece maxillary LeFort I osteotomy. Am J Orthod Dentofacial Orthop 120(2):124–133CrossRefPubMed

Chew MT (2005) Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients. Angle Orthod 75(6):959–963PubMed

Choe KS, Yalamanchili HR, Litner JA et al (2006) The Korean American woman’s nose: an in-depth nasal photogrammatic analysis. Archives of facial plastic surgery 8(5):319–323CrossRefPubMed

Choi JW, Lee JY, Oh T-S et al (2014) Frontal soft tissue analysis using a 3 dimensional camera following two-jaw rotational orthognathic surgery in skeletal class III patients. J Craniomaxillofac Surg 42(3):220–226CrossRefPubMed

Chung C, Lee Y, Park KH et al (2008) Nasal changes after surgical correction of skeletal Class III malocclusion in Koreans. Angle Orthod 78(3):427–432CrossRefPubMed

Donatsky O, Bjørn-Jørgensen J, Hermund NU et al (2009) Accuracy of combined maxillary and mandibular repositioning and of soft tissue prediction in relation to maxillary antero-superior repositioning combined with mandibular set back A computerized cephalometric evaluation of the immediate postsurgical outcome using the TIOPS planning system. J Craniomaxillofac Surg 37(5):279–284CrossRefPubMed

10.

Enacar A, Taner T, Toroglu S (1999) Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. Int J Adult Orthodon Orthognath Surg 14(1):27–35PubMed

11.

Farkas LG (1994) Anthropometry of the head and face. Raven Pr, New York, NY

12.

Farkas LG, Hreczko TA, Kolar JC et al (1985) Vertical and horizontal proportions of the face in young adult North American Caucasians: revision of neoclassical canons. Plast Reconstr Surg 75(3):328–338CrossRefPubMed

13.

Farkas LG, Katic MJ, Forrest CR et al (2005) International anthropometric study of facial morphology in various ethnic groups/races. J Craniofac Surg 16(4):615–646CrossRefPubMed

14.

Jensen AC, Sinclair PM, Wolford LM (1992) Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 101(3):266–275CrossRefPubMed

15.

Kang EH, Park SB, Kim JR (2000) Nose changes after maxillary advancement surgery in skeletal Class III malocclusion. Korean J Orthod 30(5):657–668

16.

Khosravanifard B, Rakhshan V, Raeesi E (2013) Factors influencing attractiveness of soft tissue profile. Oral Surg Oral Med Oral Pathol Oral Radiol 115(1):29–37CrossRefPubMed

17.

Ko EW-C, Huang CS, Chen YR (2009) Characteristics and corrective outcome of face asymmetry by orthognathic surgery. J Oral Maxillofac Surg 67(10):2201–2209CrossRefPubMed

18.

Kolar JC, Salter EM (1997) Craniofacial anthropometry: practical measurement of the head and face for clinical, surgical, and research use. Charles C. Thomas Publisher, Springfield

19.

Legan HL, Burstone CJ (1980) Soft tissue cephalometric analysis for orthognathic surgery. J Oral Surg 38(10):744–751PubMed

20.

Lim Y-K, Chu E-H, Lee D-Y et al (2010) Three-dimensional evaluation of soft tissue change gradients after mandibular setback surgery in skeletal Class III malocclusion. Angle Orthod 80(5):896–903CrossRefPubMed

21.

Marsan G, Cura N, Emekli U (2009) Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients. J Craniomaxillofac Surg 37(1):8–17CrossRefPubMed

22.

Marşan G, Oztaş E, Kuvat SV et al (2009) Changes in soft tissue profile after mandibular setback surgery in Class III subjects. Int J Oral Maxillofac Surg 38(3):236–240CrossRefPubMed

23.

Oh K-M, Seo S-K, Park J-E et al (2013) Post-operative soft tissue changes in patients with mandibular prognathism after bimaxillary surgery. J Craniomaxillofac Surg 41(3):204–211CrossRefPubMed

24.

Park S-B, Yoon J-K, Kim Y-I et al (2012) The evaluation of the nasal morphologic changes after bimaxillary surgery in skeletal class III maloccusion by using the superimposition of cone-beam computed tomography (CBCT) volumes. J Craniomaxillofac Surg 40(4):e87–e92CrossRefPubMed

25.

Park SH, Yu HS, Kim KD et al (2006) A proposal for a new analysis of craniofacial morphology by 3-dimensional computed tomography. Am J Orthod Dentofacial Orthop 129(5):600.e623–634

26.

Rakhshan V (2015) Meta-analysis of observational studies on the most commonly missing permanent dentition (excluding the third molars) in non-syndromic dental patients or randomly-selected subjects, and the factors affecting the observed rates. J Clin Pediatr Dent 39(3):199–207PubMed

27.

Raschke GF, Rieger UM, Peisker A et al (2015) Morphologic outcome of bimaxillary surgery—an anthropometric appraisal. Med Oral Patol Oral Cir Bucal 20(1):e103–e110CrossRefPubMed

28.

Rauso R, Tartaro G, Tozzi U et al (2011) Nasolabial changes after maxillary advancement. J Craniofac Surg 22(3):809–812CrossRefPubMed

29.

Rosen HM (1988) Lip-nasal aesthetics following Le Fort I osteotomy. Plast Reconstr Surg 81(2):171–182CrossRefPubMed

30.

Rustemeyer J, Gregersen J (2012) Quality of life in orthognathic surgery patients: post-surgical improvements in aesthetics and self-confidence. J Craniomaxillofac Surg 40(5):400–404CrossRefPubMed

31.

Ryckman MS, Harrison S, Oliver D 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–S93CrossRefPubMed

32.

Sarver DM, Weissman SM (1991) Long-term soft tissue response to LeFort I maxillary superior repositioning. Angle Orthod 61(4):267–276PubMed

33.

Sforza C, Peretta R, Grandi G et al (2007) Soft tissue facial volumes and shape in skeletal Class III patients before and after orthognathic surgery treatment. J Plast Reconstr Aesthet Surg 60(2):130–138CrossRefPubMed

34.

Soncul M, Bamber MA (2004) Evaluation of facial soft tissue changes with optical surface scan after surgical correction of Class III deformities. J Oral Maxillofac Surg 62(11):1331–1340CrossRefPubMed

35.

Vasudavan S, Jayaratne YS, Padwa BL (2012) Nasolabial soft tissue changes after Le Fort I advancement. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg 70(4):e270–e277CrossRef

36.

Yamada T, Mishima K, Moritani N et al (2010) Nasolabial morphologic changes after a Le Fort I osteotomy: a three-dimensional anthropometric study. J Craniofac Surg 21(4):1089–1095CrossRefPubMed

Title: Frontal-view nasolabial soft tissue alterations after bimaxillary orthognathic surgery in Class III patients
Authors: Siamak Hemmatpour
Fatemeh Kadkhodaei Oliadarani
Ali Hasani
Vahid Rakhshan
Publication date: 01-11-2016
Publisher: Springer Medizin
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2016
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-016-0047-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Frontal-view nasolabial soft tissue alterations after bimaxillary orthognathic surgery in Class III patients

Abstract

Introduction

Methods

Result

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Methods

Result

Conclusion

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