Öz
Amaç: Yumuşak doku profilinin tahmini, ortognatik cerrahi planlamanın önemli bir parçasıdır. Cerrahi tekniklerdeki değişiklikler yumuşak doku yanıtını etkileyebilir. Bu çalışma, basamaklı maksiller osteotominin yumuşak doku yanıtı üzerindeki etkilerini belirlemeyi amaçlamıştır.
Gereç ve Yöntemler: Çalışmaya basamaklı maksiller osteotomi ve bilateral sagittal split ramus osteotomisi kullanılarak, maksiller ilerletme ve mandibular geri alma cerrahisi uygulanan toplam 24 hasta (17 kadın, 7 erkek) dâhil edildi. Daha sonra ANS redüksiyon pozitif (ANSR+) ve negatif grup (ANSR-) olmak üzere iki alt grup oluşturuldu. Tüm hastalarda chin sütür ve V-Y kapama teknikleri kullanılmıştır. Ameliyat öncesi ve ameliyattan 6-8 ay sonra alınan lateral sefalometrik radyografiler arşivden toplandı. Yumuşak ve sert doku değişiklikleri, eşleştirilmiş T-testi kullanılarak değerlendirildi. Sert ve yumuşak doku hareketleri arasındaki korelasyonu belirlemek için Pearson korelasyon testi kullanıldı.
Bulgular: ANSR+ grubunun maksiller yumuşak/sert doku oranları ANSR- grubundan daha düşüktü. ANSR+ ve ANSR- gruplarında oranlar Pr/ANS:% 6'ya karşı % 49, Pr/A:% 16'ya karşı % 42, Sn/A:% 52'ye karşı % 66, Ls/ U1:% 31'e karşı % 78 olarak bulunmuştur.
Sonuçlar: Basamaklı maksiller osteotomi tekniği, burun ucunun anterior yönde daha fazla desteklenmesinin istendiği hastalarda faydalı olabilir. ANS redüksiyon işlemi, burun ucu ve üst dudağın yumuşak doku yanıtında azalmaya neden olur. Subnazal bölge nispeten daha az etkilenir.
Anahtar Kelimeler
Destekleyen Kurum
Yok.
Proje Numarası
19-KAEK-111
Teşekkür
We thank Assist. Prof. xxxxxxx for the statistical analysis.
Kaynakça
- 1. Ackerman JL, Proffit WR, Sarver DM. The emerging soft tissue paradigm in orthodontic diagnosis and treatment planning. Clinical orthodontics and research 1999;2:49-52.
- 2. Proffit WR. Masters of esthetic dentistry: The soft tissue paradigm in orthodontic diagnosis and treatment planning: A new view for a new century. Journal of Esthetic and Restorative Dentistry 2000;12:46.
- 3. San Miguel Moragas J, Van Cauteren W, Mommaerts MY. A systematic review on soft-to-hard tissue ratios in orthognathic surgery part I: maxillary repositioning osteotomy. J Craniomaxillofac Surg 2014;42:1341-1351.
- 4. Khamashta-Ledezma L, Naini FB. Prospective assessment of maxillary advancement effects: maxillary incisor exposure, and upper lip and nasal changes. Am J Orthod Dentofacial Orthop 2015;147:454-464.
- 5. Peled M, Ardekian L, Krausz AA, Aizenbud D. Comparing the effects of V-Y advancement versus simple closure on upper lip aesthetics after Le Fort I advancement. J Oral Maxillofac Surg 2004;62:315-319.
- 6. Chew MT. Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients. Angle Orthod 2005;75:959-963.
- 7. Altug-Atac AT, Bolatoglu H, Memikoglu UT. Facial soft tissue profile following bimaxillary orthognathic surgery. Angle Orthod 2008;78:50-57.
- 8. Aydil B, Ozer N, Marsan G. Bimaxillary surgery in Class III malocclusion: soft and hard tissue changes. J Craniomaxillofac Surg 2013;41:254-257.
- 9. Catherine Z, Scolozzi P. Modified Le Fort I step osteotomy for improvement of paranasal flatness in maxillary deficiency: Technical note and series of 24 cases. J Stomatol Oral Maxillofac Surg 2019;120:559-565.
- 10. Keller EE, Sather AH. Intraoral quadrangular Le Fort II osteotomy. J Oral Maxillofac Surg 1987;45:223-232.
- 11. Obwegeser HL. Surgical correction of small or retrodisplaced maxillae. The "dish-face" deformity. Plast Reconstr Surg 1969;43:351-365.
- 12. Kufner J. Four-year experience with major maxillary osteotomy for retrusion. J Oral Surg 1971;29:549-553.
- 13. Kaminishi RM, Davis WH, Hochwald DA, Nelson N. Improved maxillary stability with modified Lefort I technique. J Oral Maxillofac Surg 1983;41:203-205.
- 14. Bennett MA, Wolford LM. The maxillary step osteotomy and Steinmann pin stabilization. J Oral Maxillofac Surg 1985;43:307-311.
- 15. Stringer DE, Boyne PJ. Modification of the maxillary step osteotomy and stabilization with titanium mesh. J Oral Maxillofac Surg 1986;44:487-488.
- 16. Olate S, Zaror C, Blythe JN, Mommaerts MY. A systematic review of soft-to-hard tissue ratios in orthognathic surgery. Part III: Double jaw surgery procedures. J Craniomaxillofac Surg 2016;44:1599-1606.
- 17. Shoji T, Muto T, Takahashi M, Akizuki K, Tsuchida Y. The stability of an alar cinch suture after Le Fort I and mandibular osteotomies in Japanese patients with Class III malocclusions. Br J Oral Maxillofac Surg 2012;50:361-364.
- 18. Schendel SA, Williamson LW. Muscle reorientation following superior repositioning of the maxilla. J Oral Maxillofac Surg 1983;41:235-240.
- 19. Legan HL, Burstone CJ. Soft tissue cephalometric analysis for orthognathic surgery. Journal of oral surgery (American Dental Association: 1965) 1980;38:744-751.
- 20. Lew K, Loh F, Yeo J, Loh H. Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism. The International journal of adult orthodontics and orthognathic surgery 1990;5:189-197.
- 21. Dahlberg G. Statistical methods for medical and biological students. Statistical methods for medical and biological students. 1940.
- 22. Louis PJ, Austin RB, Waite PD, Mathews CS. Soft tissue changes of the upper lip associated with maxillary advancement in obstructive sleep apnea patients. J Oral Maxillofac Surg 2001;59:151-156.
- 23. Soncul M, Bamber MA. Evaluation of facial soft tissue changes with optical surface scan after surgical correction of Class III deformities. J Oral Maxillofac Surg 2004;62:1331-1340.
- 24. Davidson E, Kumar AR. A Preliminary Three-Dimensional Analysis of Nasal Aesthetics Following Le Fort I Advancement in Patients With Cleft Lip and Palate. J Craniofac Surg 2015;26:e629-633.
- 25. Kaklamanos EG, Kolokitha O-E. Relation between soft tissue and skeletal changes after mandibular setback surgery: a systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery 2016;44:427-435.
- 26. Lin SS, Kerr WJ. Soft and hard tissue changes in Class III patients treated by bimaxillary surgery. Eur J Orthod 1998;20:25-33.
- 27. Jensen AC, Sinclair PM, Wolford LM. Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 1992;101:266-275.
- 28. Becker OE, Avelar RL, Dolzan Ado N, Haas OL, Jr., Scolari N, Oliveira RB. Soft and hard tissue changes in skeletal Class III patients treated with double-jaw orthognathic surgery-maxillary advancement and mandibular setback. Int J Oral Maxillofac Surg 2014;43:204-212.
Öz
Proje Numarası
19-KAEK-111
Kaynakça
- 1. Ackerman JL, Proffit WR, Sarver DM. The emerging soft tissue paradigm in orthodontic diagnosis and treatment planning. Clinical orthodontics and research 1999;2:49-52.
- 2. Proffit WR. Masters of esthetic dentistry: The soft tissue paradigm in orthodontic diagnosis and treatment planning: A new view for a new century. Journal of Esthetic and Restorative Dentistry 2000;12:46.
- 3. San Miguel Moragas J, Van Cauteren W, Mommaerts MY. A systematic review on soft-to-hard tissue ratios in orthognathic surgery part I: maxillary repositioning osteotomy. J Craniomaxillofac Surg 2014;42:1341-1351.
- 4. Khamashta-Ledezma L, Naini FB. Prospective assessment of maxillary advancement effects: maxillary incisor exposure, and upper lip and nasal changes. Am J Orthod Dentofacial Orthop 2015;147:454-464.
- 5. Peled M, Ardekian L, Krausz AA, Aizenbud D. Comparing the effects of V-Y advancement versus simple closure on upper lip aesthetics after Le Fort I advancement. J Oral Maxillofac Surg 2004;62:315-319.
- 6. Chew MT. Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients. Angle Orthod 2005;75:959-963.
- 7. Altug-Atac AT, Bolatoglu H, Memikoglu UT. Facial soft tissue profile following bimaxillary orthognathic surgery. Angle Orthod 2008;78:50-57.
- 8. Aydil B, Ozer N, Marsan G. Bimaxillary surgery in Class III malocclusion: soft and hard tissue changes. J Craniomaxillofac Surg 2013;41:254-257.
- 9. Catherine Z, Scolozzi P. Modified Le Fort I step osteotomy for improvement of paranasal flatness in maxillary deficiency: Technical note and series of 24 cases. J Stomatol Oral Maxillofac Surg 2019;120:559-565.
- 10. Keller EE, Sather AH. Intraoral quadrangular Le Fort II osteotomy. J Oral Maxillofac Surg 1987;45:223-232.
- 11. Obwegeser HL. Surgical correction of small or retrodisplaced maxillae. The "dish-face" deformity. Plast Reconstr Surg 1969;43:351-365.
- 12. Kufner J. Four-year experience with major maxillary osteotomy for retrusion. J Oral Surg 1971;29:549-553.
- 13. Kaminishi RM, Davis WH, Hochwald DA, Nelson N. Improved maxillary stability with modified Lefort I technique. J Oral Maxillofac Surg 1983;41:203-205.
- 14. Bennett MA, Wolford LM. The maxillary step osteotomy and Steinmann pin stabilization. J Oral Maxillofac Surg 1985;43:307-311.
- 15. Stringer DE, Boyne PJ. Modification of the maxillary step osteotomy and stabilization with titanium mesh. J Oral Maxillofac Surg 1986;44:487-488.
- 16. Olate S, Zaror C, Blythe JN, Mommaerts MY. A systematic review of soft-to-hard tissue ratios in orthognathic surgery. Part III: Double jaw surgery procedures. J Craniomaxillofac Surg 2016;44:1599-1606.
- 17. Shoji T, Muto T, Takahashi M, Akizuki K, Tsuchida Y. The stability of an alar cinch suture after Le Fort I and mandibular osteotomies in Japanese patients with Class III malocclusions. Br J Oral Maxillofac Surg 2012;50:361-364.
- 18. Schendel SA, Williamson LW. Muscle reorientation following superior repositioning of the maxilla. J Oral Maxillofac Surg 1983;41:235-240.
- 19. Legan HL, Burstone CJ. Soft tissue cephalometric analysis for orthognathic surgery. Journal of oral surgery (American Dental Association: 1965) 1980;38:744-751.
- 20. Lew K, Loh F, Yeo J, Loh H. Evaluation of soft tissue profile following intraoral ramus osteotomy in Chinese adults with mandibular prognathism. The International journal of adult orthodontics and orthognathic surgery 1990;5:189-197.
- 21. Dahlberg G. Statistical methods for medical and biological students. Statistical methods for medical and biological students. 1940.
- 22. Louis PJ, Austin RB, Waite PD, Mathews CS. Soft tissue changes of the upper lip associated with maxillary advancement in obstructive sleep apnea patients. J Oral Maxillofac Surg 2001;59:151-156.
- 23. Soncul M, Bamber MA. Evaluation of facial soft tissue changes with optical surface scan after surgical correction of Class III deformities. J Oral Maxillofac Surg 2004;62:1331-1340.
- 24. Davidson E, Kumar AR. A Preliminary Three-Dimensional Analysis of Nasal Aesthetics Following Le Fort I Advancement in Patients With Cleft Lip and Palate. J Craniofac Surg 2015;26:e629-633.
- 25. Kaklamanos EG, Kolokitha O-E. Relation between soft tissue and skeletal changes after mandibular setback surgery: a systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery 2016;44:427-435.
- 26. Lin SS, Kerr WJ. Soft and hard tissue changes in Class III patients treated by bimaxillary surgery. Eur J Orthod 1998;20:25-33.
- 27. Jensen AC, Sinclair PM, Wolford LM. Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 1992;101:266-275.
- 28. Becker OE, Avelar RL, Dolzan Ado N, Haas OL, Jr., Scolari N, Oliveira RB. Soft and hard tissue changes in skeletal Class III patients treated with double-jaw orthognathic surgery-maxillary advancement and mandibular setback. Int J Oral Maxillofac Surg 2014;43:204-212.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Original Research Articles |
| Yazarlar | |
| Proje Numarası | 19-KAEK-111 |
| Yayımlanma Tarihi | 31 Mayıs 2021 |
| Gönderilme Tarihi | 14 Ekim 2020 |
| Yayımlandığı Sayı | Yıl 2021 |
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