Soft tissue profile changes following mandibular advancement and setback surgery an average of 12 years postoperatively

Eggensperger, Nicole M; Lieger, Olivier; Thüer, Urs; Iizuka, Tateyuki (2007). Soft tissue profile changes following mandibular advancement and setback surgery an average of 12 years postoperatively. Journal of oral and maxillofacial surgery, 65(11), pp. 2301-2310. Maryland Heights, Mo.: Elsevier 10.1016/j.joms.2007.06.644

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PURPOSE: The aim of this study was to assess long-term changes in position of soft tissue landmarks following mandibular advancement and setback surgery. MATERIALS AND METHODS: Twenty-seven patients (14 women, 13 men; mean age, 36 years) who had undergone either mandibular advancement (15 patients) or setback surgery (12 patients), were available for a long-term follow-up an average of 12 years postoperatively. In all of these cases, lateral cephalometric radiographs taken immediately before operation, at 1 week, 14 months, and 12 years postoperatively, were studied. RESULTS: During the 14 months postoperatively, soft tissue chin and mentolabial fold followed its underlying hard tissue in all patients. A continuous skeletal relapse was observable 12 years after mandibular advancement, but soft tissue chin moved more in an anterior direction. After mandibular setback, soft and hard tissue landmarks remained almost unchanged. Over the entire observation period, a thickening of soft tissue at pogonion was generally seen, and particularly a thickening of the whole chin in the setback group. All patients showed a significant lengthening and thinning of the upper lip. In all except 2 males, the patient's body weight increased markedly. CONCLUSION: In contrast to the immediate postoperative stage, soft tissue changes observed an average of 12 years after the primary operation do not directly follow the movements of the underlying skeletal structure. The soft tissue profile changes observed over such a long term seem to be influenced not only by the underlying skeletal structure but also by other factors such as weight gain and aging process.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Eggensperger, Nicole; Lieger, Olivier and Iizuka, Tateyuki

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0278-2391

ISBN:

17954329

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

27 Jan 2015 11:01

Publisher DOI:

10.1016/j.joms.2007.06.644

PubMed ID:

17954329

Web of Science ID:

000250622200026

BORIS DOI:

10.7892/boris.23813

URI:

https://boris.unibe.ch/id/eprint/23813 (FactScience: 44493)

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