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01-06-2013 | Original Article

Soft tissue outcome after mandibular advancement—an anthropometric evaluation of 171 consecutive patients

Authors: Gregor F. Raschke, Ulrich M. Rieger, Rolf-Dieter Bader, Arndt Guentsch, Oliver Schaefer, Stefan Schultze-Mosgau

Published in: Clinical Oral Investigations | Issue 5/2013

Abstract

Objectives

There is an ongoing discussion in the literature about preoperative planning and postoperative evaluation of orthognathic surgery and its impact on facial appearance and aesthetics.

Materials and Methods

We present an anthropometric and cephalometric evaluation of orthognathic surgery results based on reference anthropometric data. In 171 Class II patients, mandibular advancement by bilateral sagittal split osteotomy was performed. Preoperative as well as 3 and 9 months postoperative standardized frontal view and profile photographs and lateral cephalograms were evaluated in a standardized manner by use of 21 anthropometric indices. In cephalograms, SNA and SNB angle as well as Wits appraisal were investigated. Results of anthropometric and cephalometric measurements were correlated.

Results

Lower vermilion contour, vermilion and cutaneous total lower lip height, nose–lower face height, nose–face height, upper face–face height, upper lip– and chin–mandible height index showed significant pre- to postoperative changes as well as SNB angle and Wits appraisal. Furthermore, medial–lateral cutaneous upper lip height, vermilion and cutaneous total lower lip height and philtrum–mouth width index presented significant correlations to cephalometric measurements.

Conclusions

The investigated anthropometric indices and cephalometric measurements presented reproducible results related to surgery. The correlation of cephalometric to anthropometric measurements has been proven useful for preoperative planning and postoperative evaluation of orthognathic surgery patients.

Clinical relevance

The presented anthropometric measurements and their observed correlation to cephalometric measurements could lead to a better prediction and optimized planning of the soft tissue result in orthognathic surgery patients and thereby improve the aesthetic outcome.

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Title: Soft tissue outcome after mandibular advancement—an anthropometric evaluation of 171 consecutive patients
Authors: Gregor F. Raschke
Ulrich M. Rieger
Rolf-Dieter Bader
Arndt Guentsch
Oliver Schaefer
Stefan Schultze-Mosgau
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 5/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0821-2

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Springer Medicine

Soft tissue outcome after mandibular advancement—an anthropometric evaluation of 171 consecutive patients

Abstract

Objectives

Materials and Methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and Methods

Results

Conclusions

Clinical relevance

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