Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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A STUDY OF UPPER LIP PROFILE CHANGE AFTER ANTERIOR SEGMENTAL SETBACK OSTEOTOMY

상악 분절골 후퇴술 후의 상순위치 변화 연구

  • Noh, Kwang-Seob (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Kim, Chang-Soo (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine)
  • 노광섭 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 김창수 (성균관대학교 의과대학 삼성서울병원 구강악안면외과)
  • Published : 2005.06.30
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Abstract

Purpose : Prediction for soft tissue change after orthognathic surgery is very important for the final esthetics. In this study, we have tried to get the amount of upper lip movement relative to bony segment movement after anterior segmental osteotomy by cephalmetric analysis to predict final upper lip position after surgery. Material and Methods : 20 patients was studied on whom anterior segmental osteotmy as performed by Cupar method during the years 2002 to 2003. Cephalometric radiograph were taken at 1month before surgery and 6 month after surgery. Change of upper lip was measured on landmark Ls and Sto relative to hard tissue (landmark Ia) setback on these X-rays and analyzed. Results : 1. Upper lip setback movement. Setback of upper lip showed proportional relation to the hard tissue setback and the ratio was about 84%(p=0.001). 2. Upper lip downward movement. Downward movement of upper lip showed no proportional relation to hard tissue setback And the amount was mean 1.38 mm and SD 1.21mm (p=0.922). Conclusion : The posterior movement of upper lip is affected by hard tissue movement and shows good proportional change whereas downward movement is not so much influenced by hard tissue movement. And we think slight downward movement shown in this study could be explained by the V-Y closure performed during surgery.

Keywords

References

  1. Hershy HG: Incisor tooth retraction and subsequent profile change in postadolescent female patients. Am J Orthod 1972;61:45
  2. Lines PA, Steinhauser EW: Soft tissue changes in relationship movement of hard tissue structures in orthognathic surgery: A preliminary report. J Oral Surg 1974;32:891 https://doi.org/10.1016/0030-4220(71)90175-7
  3. Lew KKK, Loh FC, Yeo JF et al: Profile changes following anterior subapical osteotomy in Chinese adults with bimaxillary protrusion. Int J Adult Orthod Orthognath Surg 1989;4:189
  4. Radney LJ, Jacobs JD: Soft tissue changes associated with surgical total maxillary intrusion. Am J Orthod 1981;80:191 https://doi.org/10.1016/0002-9416(81)90218-9
  5. Schendel SA, Eisenfeld JH, Bell WH et al: Superior repositioning of the maxilla: Stability and soft tissue osseous relations. Am J Orthod 1976;70:663 https://doi.org/10.1016/0002-9416(76)90226-8
  6. Waite PD: Simultaneous orthognathic surgery and rhinoplasty. In Epker BN (ed): Oral and Maxillofacial Surgery Clinics of North America, Cosmetic Oral and Maxillofacial Surgery. Philadelphia, WB Saunders, 1990, pp 339-350
  7. Mansour S, Burstone C, Legan H: An evaluation of soft tissue changers resulting from LeFort I maxillary surgery. Am J Orthod 1983;84;37
  8. Sakima T, Sachdeva R: Soft tissue response to LeFort I maxillary impaction surgery. Int J Adult Orthod Orthognathic Surg 1987;4;221
  9. Ingersoll SK, Peterson LJ, Weinstein S: Influence of horizontal incision on upper lip morphology [abstract 360].J Dent Res 1982;61:218
  10. O'Reilly MT: Integumental profile changes after surgical orthodontic correction of bimaxillary dentoalveolar protrusion in black patients. Am J Orthod Dentofacial Orthop 1989;96:242 https://doi.org/10.1016/0889-5406(89)90461-7
  11. Proffit WR, Epker BN: Treatment planning for dentofacial deformities. In Bell WH, Proffit WR, White RP(eds):Surgical Correction of Dentofacial Deformities. Philadelphia, WB Saunders, 1980, pp 183-187
  12. Tomlak DJ, Piecuch JF, Weinstein S: Morphologic analysis of upper lip area following maxillary osteotomy via the tunneling approach. Am J Orthod 1984;85:488 https://doi.org/10.1016/0002-9416(84)90088-5
  13. Burstone CJ: Integumental contour and extension patterns.Angle Orthod 1959;29:93
  14. Betts NJ, Fonseca RJ, Vig P, et al: Changes in nasal and labial soft tissue after surgical repositioning of the maxilla. Int J Adult Orthod Orthognath Surg 1993;8:7
  15. Dann JJ, Fonseca RJ, Bell WH: Soft tissue changes associated with total maxillary advancement: A preliminary study.J Oral Surg 1976;34:19
  16. Stella JP, Streater MR, Epker BN, Sinn DP: Predictability of upper lip soft tissue changes with maxillary advancement. J Oral Maxillofac Surg 1989;47:697 https://doi.org/10.1016/S0278-2391(89)80008-4
  17. Freihofer HPM Jr: The lip profile after correction of retromaxillism in cleft and non-cleft patients. J Maxillofac Surg 1976;4:136
  18. Rosen HM: Lip-nasal aesthetics following LeFort I osteotomy. Plast Reconstr Surg 1988;81:171 https://doi.org/10.1097/00006534-198802000-00005
  19. John P.Stella et al: Predictability of Upper Lip Soft Tissue Changes With Maxillary Advancement. J Oral Maxillofac Surg 1989;47:697-703 https://doi.org/10.1016/S0278-2391(89)80008-4
  20. Sakima T, Sachdeva R: Soft tissue response to LeFort I maxillary impaction surgery. Int J Adult Orthod Orthognath Surg 1987;4:221
  21. Bloom LA: Perioral profile changes in orthodontic treatment. Am J Orthod 1961;47:371 https://doi.org/10.1016/0002-9416(61)90177-4
  22. Freihofer HPM Jr: Changes in nasal profile after maxillary advancement in cleft and non-cleft patients. J Maxillofac Surg 1977;5:20
  23. Epker BN: A modified anterior maxillary ostectomy. J Maxillofac Surg 1977;5:35-38 https://doi.org/10.1016/S0301-0503(77)80073-8