• 대한치과의사협회지
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• 제58권2호
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• pp.94-102
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• 2020

The form and location of chin is very important factor which determine the facial impression. Genioplasty is getting popular in order to improve the facial impression as facial beauty is considered as improvable factor. Through the geniplasty, chin can be moved to wanted location 3 dimensionally Genioplasty is relative simple but precise diagnosis and accurate surgical technique is very important for accurate and satisfying results. The form and shape of chin itself can be analysized and also must be evalulated in relation to the nose and lip and face. Author introduces the analysis of the chin, various surgical techniques of genioplasty and presents some cases.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권1호
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• pp.55-61
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• 2011

Conventional slinding genioplsty has the risk of mental nerve injury after operation and difficult to correct vertical asymmetry of chin. So, authors propose a new genioplasty to correct asymmetry of chin. Switching genioplasty is a modification method of conventional genioplasty. Between mandibular right and left canine, osteotomy line of triangular shape make until mandibular lower border. In large side, osteotome line of wedge shape is added to reduction. After osteotomy, segment of wedge shape was separated from chin. Distal segment was rotated to reduction side. Because of rotation of distal segment, space is made in opposite side. Seperated segement of wedge shape from large side is switched this space to fill. So, stability of distal segment is achieved. Authors applied to swiching genioplasty the patients who was remained the chin asymmetry after both sagittal split ramus osteotome was done because mandible asymmetry. After operation, patient and operator were satisfied with excellent esthetic results without any other complication. The switching genioplasty is effective surgical technique for chin asymmetry because it has more advantages than conventional sliding genioplasty. First, other donor side does not need for bone graft. Second, the switching genioplasty can reduce infection, bone resroption, dehiscence, capsular contraction after allograft. Third, have little mental nerve damage. Forth, anteroposterior correction is possible. Fifth, operation time is less than other genioplasty for chin asymmetry.