Assessement of the Nasal Shape after Orthognathic Maxillary Surgery

Keywords

Aesthetics
Orthodontics
Orthognathic surgery
Le Fort I osteotomy
Nose

Categories

How to Cite

1.
Bourzgui F, Diouny S, Tougui I, El Omari A, Serhier Z, Bennani Othmani M. Assessement of the Nasal Shape after Orthognathic Maxillary Surgery. Integr J Med Sci [Internet]. 2021 Oct. 11 [cited 2021 Oct. 26];8. Available from: https://mbmj.org/index.php/ijms/article/view/552

Abstract

Background: Orthodontic and surgical modifications have been shown to have aesthetic effects on the shape or position of the nose. Aim: To evaluate nasal changes using cephalometric assessment after orthognathic surgery. The PIDAQ was cross-culturally adapted into Malay version by forward- and backward-translation processes, followed by psychometric validation.
Methods: A cross-sectional study was carried out involving 20 Moroccan orthognathic patients from January to March 2019. Their mean age was 22.40 (+/-6.98 years). The amplitude of the surgical movements of all patients was measured using measurements on profile teleradiographs and photos of faces taken before and after surgery. The statistical analysis of cephalometric data before and after surgery was performed using the Wilcoxon test. The significance level was p≤0.05.
Results: The results revealed a significant reduction in the angular values of SNA (°) (p<0.001), GoGn/SN (°) (p=0.038), Occ/Sn (°) (p=0.007) and AoBo (mm) (p=0.025). No statistically significant differences were noted for specific cephalometric variables before and after surgery as for facial photographs. All the values of the specific measurements before and after were significant except Prn - SN. 
Conclusion: The width of the base of the nasal wing and the displacement and the amount of rotation of the nasal tip increased considerably in most patients while the X-axis to Prn distance decreased.

https://doi.org/10.15342/ijms.2021.552

References

Feragen KB, Stock NM. Psychological adjustment to craniofacial conditions (excluding oral clefts): A review of the literature. Psychol Health. 2017 Mar;32(3):253-288. https://doi.org/10.1080/08870446.2016.1247838

Khamashta-Ledezma L, Naini FB. A systematic review of changes in maxillary incisor exposure and upper lip position with Le Fort I type osteotomies with or without cinch sutures and/or VY closures. Int J Oral Maxillofac Surg. 2014 Jan;43(1):46-61. https://doi.org/10.1016/j.ijom.2013.08.005

Silva MAS, Médici Filho E, Castilho JCM, Gil CTLA. Assessment of divine proportion in the cranial structure of individuals with Angle Class II malocclusion on lateral cephalograms. Dental Press J Orthod. 2012 June;17(3):88-97. https://doi.org/10.1590/S2176-94512012000300018

van Loon B, van Heerbeek N, Bierenbroodspot F, Verhamme L, Xi T, de Koning MJ, et al. Three-dimensional changes in nose and upper lip volume after orthognathic surgery. Int J Oral Maxillofac Surg. 2015 Jan;44(1):83-9. https://doi.org/10.1016/j.ijom.2014.08.001

Al-Asfour A, Waheedi M, Koshy S. Survey of patient experiences of orthognathic surgery: health-related quality of life and satisfaction. Int J Oral Maxillofac Surg. 2018 Jun; 47(6): 726–731. https://doi.org/10.1016/j.ijom.2017.12.010

Dantas WR, Silveira MM, Vasconcelos BC, Porto GG. Evaluation of the nasal shape after orthognathic surgery. Braz J Otorhinolaryngol. 2015 Jan-Feb;81(1):19-23. https://doi.org/10.1016/j.bjorl.2014.08.005

Worasakwutiphong S, Chuang YF, Chang HW, Lin HH, Lin PJ, Lo LJ. Nasal changes after orthognathic surgery for patients with prognathism and Class III malocclusion: analysis using three-dimensional photogrammetry. J Formos Med Assoc. 2015 Feb; 114(2):112-23. https://doi.org/10.1016/j.jfma.2014.10.003

Park SB, Yoon JK, Kim YI, Hwang DS, Cho BH, Son WS. The evaluation of the nasal morphologic changes after bimaxillary surgery in skeletal class III malocclusion by using the superimposition of cone-beam computed tomography (CBCT) volumes. J Craniomaxillofac Surg. 2012 Jun;40(4):e87-92. https://doi.org/10.1016/j.jcms.2011.05.008

Chung C, Lee Y, Park KH, Park SH, Park YC, Kim KH. Nasal changes after surgical correction of skeletal Class III malocclusion in Koreans. Angle Orthod. 2008 May;78(3):427-32. https://doi.org/10.2319/041207-186.1

Honrado CP, Lee S, Bloomquist DS, Larrabee WF Jr. Quantitative assessment of nasal changes after maxillomandibular surgery using a 3-dimensional digital imaging system. Arch Facial Plast Surg. Jan-Feb 2006;8(1):26-35. https://doi.org/10.1001/archfaci.8.1.26

Magnusson A, Bjerklin K, Kim H, Nilsson P, Marcusson A. Three-dimensional computed tomographic analysis of changes to the external features of the nose after surgically assisted rapid maxillary expansion and orthodontic treatment: a prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2013 Sep; 144(3):404-13. https://doi.org/10.1016/j.ajodo.2013.04.013

Coban G, Yavuz I, Karadas B, Demirbas AE. Three-dimensional assessment of nasal changes after maxillary advancement with impaction using stereophotogrammetry. Korean J Orthod. 2020 Jul 25;50(4):249-57. https://doi.org/10.4041/kjod.2020.50.4.249

Thomas PM. Three-Dimensional Soft Tissue Simulation in Orthognathic Surgery. Atlas Oral Maxillofac Surg Clin North Am. 2020 Sep; 28(2):73-82. https://doi.org/10.1016/j.cxom.2020.05.003

Knoops PGM, Borghi A, Ruggiero F, Badiali G, Bianchi A, Marchetti C, Rodriguez-Florez N, Et Al. A novel soft tissue prediction methodology for orthognathic surgery based on probabilistic finite element modelling. PLoS One. 2018 May 9; 13(5):e0197209. https://doi.org/10.1371/journal.pone.0197209

Betts NJ, Vig KW, Vig P, Spalding P, Fonseca RJ. Changes in the nasal and labial soft tissues after surgical repositioning of the maxilla. Int J Adult Orthodon Orthognath Surg. 1993;8(1):7-23.

Soft and hard tissue changes after bimaxillary surgery in Turkish female Class III patients. J Craniomaxillofac Surg. 2009 Jan;37(1):8–17. https://doi.org/10.1016/j.jcms.2008.07.004

Maal TJ, de Koning MJ, Plooij JM, Verhamme LM, Rangel FA, Bergé SJ, et al. One year postoperative hard and soft tissue volumetric changes after a BSSO mandibular advancement. Int J Oral Maxillofac Surg. 2012 Sep;41(9):1137-45. https://doi.org/10.1016/j.ijom.2012.04.004

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2021 Farid Bourzgui, Samir DIOUNY, Idriss TOUGUI, Ayoub EL OMARI, Zineb SERHIER , Mohamed BENNANI Othmani

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