Long-term outcomes of bimaxillary surgery for treatment of asymmetric skeletal class III deformity using surgery-first approach

Clinical Oral Investigations
Yu-Fang LiaoYu-Ray Chen

Abstract

Although several studies have reported the advantages of the surgery-first approach for orthognathic correction of Class III deformity, there are few reports of the success of this approach for patients with facial asymmetry. Therefore, the purpose of this study was to evaluate the outcome of bimaxillary surgery for asymmetric skeletal Class III deformity using a surgery-first approach. Sixty-five patients who consecutively underwent at least a combined Le Fort I and a bilateral sagittal split osteotomy for asymmetric skeletal Class III deformity were identified in the authors' patient database. Standardized frontal photographs were used to measure the change in midface, intercommissural line, chin from midface, and chin deviation angles as well as upper, middle, and lower contour deviation angles. The facial midline symmetry index, facial contour symmetry index, and overall facial symmetry index were also calculated. Self-reported questionnaires regarding overall appearance and satisfaction with facial areas were administered at least 1 year post-surgery. Forty-six patients had genioplasty. There was a statistically significant improvement in the deviation angles measured and the facial midline, facial contour, and overall fac...Continue Reading

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Citations

Jan 29, 2020·Journal of Maxillofacial and Oral Surgery·Philip MathewRahul Tiwari
Mar 20, 2020·Journal of Dental Research, Dental Clinics, Dental Prospects·Tahereh Hosseinzadeh NikMohammad Ali Keshvad
Aug 21, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Rafael DenadaiLun-Jou Lo
Mar 1, 2020·Clinical Oral Investigations·Worraruthai TitiroongruangYu-Ray Chen
Feb 23, 2021·Aesthetic Plastic Surgery·Chenzhi LaiXiaolei Jin
Oct 13, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Rafael DenadaiYu-Ray Chen
Mar 27, 2021·Archives of Plastic Surgery·Jong-Woo Choi, Jang-Yeol Lee
Jun 2, 2021·Maxillofacial Plastic and Reconstructive Surgery·Mohamad Saleh KhaghaninejadMohammad Mahjoori-Ghasrodashti
Jun 8, 2021·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Cheng-Ting HoLun-Jou Lo

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