Academic Journal

Malar augmentation with zygomatic osteotomy in orthognatic surgery: Bone and soft tissue changes threedimensional evaluation: Malar Augmentation in Orthognatic Surgery

التفاصيل البيبلوغرافية
العنوان: Malar augmentation with zygomatic osteotomy in orthognatic surgery: Bone and soft tissue changes threedimensional evaluation: Malar Augmentation in Orthognatic Surgery
المؤلفون: Gerbino G., Autorino U., Borbon C., Marcolin F., Olivetti E., Vezzetti E., Zavattero E.
المساهمون: Gerbino, G., Autorino, U., Borbon, C., Marcolin, F., Olivetti, E., Vezzetti, E., Zavattero, E.
بيانات النشر: Elsevier
سنة النشر: 2021
المجموعة: PORTO@iris (Publications Open Repository TOrino - Politecnico di Torino)
مصطلحات موضوعية: Malar augmentation, Orthognatic surgery, Zygomatic osteotomy
الوصف: Background: The aim of this prospective study is to objectively assess 3D soft tissue and bone changes of the malar region by using the malar valgization osteotomy in concomitant association with orthognatic surgery. Materials and methods: From January 2015 to January 2018, 10 patients who underwent single stage bilateral malar valgization osteotomy in conjunction with maxillo-mandibular orthognatic procedures for aesthetic and functional correction were evaluated. Clinical and surgical reports were collected and patient satisfaction was evaluated with a VAS score. For each patient, maxillofacial CT-scans were collected 1 month preoperatively (T0) and 6 months after the operation (T1). DICOM data were imported and elaborated in the software MatLab, which creates a 3D soft tissue model of the face. 3D Bone changes were assessed importing DICOM data into iPlan (BrainLAB 3.0) software and the superimposition process was achieved using autofusion. Descriptive statistical analyses were obtained for soft tissue and bone changes. Results: Considering bone assessment the comparison by superimposition between T0 and T1 showed an increase of the distance between bilateral malar prominence (Pr – Pl) and a slight forward movement (87,65 ± 1,55 to 97,60 ± 5,91); p-value 0.007. All of the patients had improvement of α angle, ranging from 36,30 ± 1,70 to 38,45 ± 0,55, p-value 0,04 (αr) and 36,75 ± 1,58 to 38,45 ± 0,35; p-value 0,04 (αl). The distance S increased from 78,05 ± 2,48 to 84,2 ± 1,20; p-value 0,04 (Sr) and 78,65 ± 2,16 to 82,60 ± 0,90 (Sl); p-value 0,03. Considering the soft tissue, the comparison by superimposition between T0 and T1 showed an antero-lateral movement (p-value 0.008 NVL; p-value 0.001 NVR) of the malar bone projection together with an increase in width measurements (p-value 0,05 VL; p-value 0,01 VR). Angular measurement confirmed the pattern of the bony changes (p-value 0.034 αL; p-value 0,05 αR). Conclusion: The malar valgization osteotomy in conjunction with orthognatic surgery is effective in ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:000623789100008; volume:49; issue:3; firstpage:223; lastpage:230; numberofpages:8; journal:JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY; http://hdl.handle.net/11583/2869866; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85099801622; https://doi.org/10.1016/j.jcms.2021.01.008
DOI: 10.1016/j.jcms.2021.01.008
الاتاحة: http://hdl.handle.net/11583/2869866
https://doi.org/10.1016/j.jcms.2021.01.008
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.8481E002
قاعدة البيانات: BASE
الوصف
DOI:10.1016/j.jcms.2021.01.008