Maxillofacial Plastic and Reconstructive Surgery

  • 제38권
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  • Pages.38.1-38.10
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  • 2016
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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Changes of lip morphology following mandibular setback surgery using 3D cone-beam computed tomography images

  • Paek, Seung Jae (Department of Oral and Maxillofacial Surgery, College of Dentistry and Dental Hospital, Wonkwang University) ;
  • Yoo, Ji Yong (Department of Oral and Maxillofacial Surgery, College of Dentistry and Dental Hospital, Wonkwang University) ;
  • Lee, Jang Won (Department of Oral and Maxillofacial Surgery, College of Dentistry and Dental Hospital, Wonkwang University) ;
  • Park, Won-Jong (Department of Oral and Maxillofacial Surgery, Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Chee, Young Deok (Department of Oral and Maxillofacial Surgery, Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Choi, Moon Gi (Department of Oral and Maxillofacial Surgery, Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Choi, Eun Joo (Department of Oral and Maxillofacial Surgery, Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Kwon, Kyung-Hwan (Department of Oral and Maxillofacial Surgery, Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University)
  • 투고 : 2016.06.10
  • 심사 : 2016.09.06
  • 발행 : 2016.12.31
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초록

Background: The aims of this study are to evaluate the lip morphology and change of lip commissure after mandibular setback surgery (MSS) for class III patients and analyze association between the amount of mandibular setback and change of lip morphology. Methods: The samples consisted of 14 class III patients treated with MSS using bilateral sagittal split ramus osteotomy. Lateral cephalogram and cone-beam CT were taken before and about 6 months after MSS. Changes in landmarks and variables were measured with 3D software program $Ondemand^{TM}$. Paired and independent t tests were performed for statistical analysis. Results: Landmarks in the mouth corner (cheilion, Ch) moved backward and downward (p < .005, p < .01). However, cheilion width was not statistically significantly changed. Landmark in labrale superius (Ls) was not altered significantly. Upper lip prominence angle (ChRt-Ls-$ChLt^{\circ}$) became acute. Landmarks in stomion (Stm), labrale inferius (Li) moved backward (p < .005, p < .001). Lower lip prominence angle (ChRt-Li-$ChLt^{\circ}$) became obtuse (p < .001). Height of the upper and lower lips was not altered significantly. Length of the upper lip vermilion was increased (p =< 0.01), and length of the lower lip vermilion was decreased (p < .05). Lip area on frontal view was not statistically significantly changed, but the upper lip area on lateral view was increased and change of the lower lip area decreased (p > .05, p < .005). On lateral view, upper lip prominent point (UP) moved downward and stomion moved backward and upward and the angle of Ls-UP-Stm ($^{\circ}$) was decreased. Lower lip prominent point (LP) moved backward and downward, and the angle of Stm-LP-Li ($^{\circ}$) was increased. Li moved backward. Finally, landmarks in the lower incisor tip (L1) moved backward and upward, but stomion moved downward. After surgery, lower incisor tip (L1) was positioned more superiorly than stomion (p < .05). There were significant associations between horizontal soft tissue and corresponding hard tissue. The posterior movement of L1 was related to statistically significantly about backward and downward movement of cheilion. Conclusions: The lip morphology of patients with dento-skeletal class III malocclusion shows a significant improvement after orthognathic surgery. Three-dimensional lip morphology changes in class III patients after MSS exhibited that cheilion moved backward and downward, upper lip projection angle became acute, lower lip projection angle became obtuse, change of upper lip area on lateral view was increased, change of lower lip area decreased, and morphology of lower lip was protruding. L1 was concerned with the lip tissue change in statistically significant way.

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참고문헌

  1. Jokic D, Jokic D, Uglesic V, Macan D, Knezevic P (2013) Soft tissue changes after mandibular setback and bimaxillary surgery in class III patients. Angle Orthod 83:817-23 https://doi.org/10.2319/100112-775.1
  2. Arnett GW, Jelic JS, Kim J, Cummings DR, Beress A, Worley CM Jr et al (1999) Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofacial Orthop 116:239-53 https://doi.org/10.1016/S0889-5406(99)70234-9
  3. Hoffmann J, Westendorff C, Leitner C, Bartz D, Reinert S (2005) Validation of 3D-laser surface registration for image-guided cranio-maxillofacial surgery. J Craniomaxillofac Surg 33:13-8 https://doi.org/10.1016/j.jcms.2004.10.001
  4. Katsumata A, Fujishita M, Maeda M, Ariji Y, Ariji E, Langlais RP (2005) 3D-CT evaluation of facial asymmetry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:212-20 https://doi.org/10.1016/j.tripleo.2004.06.072
  5. Bjork N, Eliasson S, Wictorin L (1971) Changes of facial profile after surgical treatment of mandibular protrusion. A cephalometric study, 1 and 11 years after treatment. Scand J Plast Reconstr Surg 5:41-6 https://doi.org/10.3109/02844317109042935
  6. Fromm B, Lundberg M (1970) The soft-tissue facial profile before and after surgical correction of mandibular protrusion. Acta Odontol Scand 28:157-77 https://doi.org/10.3109/00016357009032025
  7. Arnett GW, Bergman RT (1993) Facial keys to orthodontic diagnosis and treatment planning. Part I. Am J Orthod Dentofacial Orthop 103:299-312 https://doi.org/10.1016/0889-5406(93)70010-L
  8. Proffit WR (2000) The soft tissue paradigm in orthodontic diagnosis and treatment planning: a new view for a new century. J Esthet Dent 12:46-9 https://doi.org/10.1111/j.1708-8240.2000.tb00198.x
  9. Kerns LL, Silveira AM, Kerns DG, Regennitter FJ (1997) Esthetic preference of the frontal and profile views of the same smile. J Esthet Dent 9:76-85 https://doi.org/10.1111/j.1708-8240.1997.tb00921.x
  10. Baik HS, Lee HJ, Lee KJ (2006) A proposal for soft tissue landmarks for craniofacial analysis using 3-dimensional laser scan imaging. World J Orthod 7:7-14
  11. Grayson B, Cutting C, Bookstein FL, Kim H, McCarthy JG (1988) The threedimensional cephalogram: theory, technique, and clinical application. Am J Orthod Dentofacial Orthop 94:327-37 https://doi.org/10.1016/0889-5406(88)90058-3
  12. Bergersen EO (1980) Enlargement and distortion in cephalometric radiography: compensation tables for linear measurements. Angle Orthod 50:230-44
  13. Terajima M, Nakasima A, Aoki Y, Goto TK, Tokumori K, Mori N et al (2009) A 3-dimensional method for analyzing the morphology of patients with maxillofacial deformities. Am J Orthod Dentofacial Orthop 136:857-67 https://doi.org/10.1016/j.ajodo.2008.01.019
  14. Kim KD, Ruprecht A, Wang G, Lee JB, Dawson DV, Vannier MW (2005) Accuracy of facial soft tissue thickness measurements in personal computerbased multiplanar reconstructed computed tomographic images. Forensic Sci Int 155:28-34 https://doi.org/10.1016/j.forsciint.2004.11.004
  15. Vannier MW, Marsh JL, Warren JO (1984) Three dimensional CT reconstruction images for craniofacial surgical planning and evaluation. Radiology 150:179-84 https://doi.org/10.1148/radiology.150.1.6689758
  16. Fuhrmann RA, Schnappauf A, Diedrich PR (1995) Three-dimensional imaging of craniomaxillofacial structures with a standard personal computer. Dentomaxillofac Radiol 24:260-3 https://doi.org/10.1259/dmfr.24.4.9161172
  17. Islam R, Kitahara T, Naher L, Hara A, Nakata S (2010) Lip morphology changes following orthognathic surgery for class III malocclusion. Angle Orthod 80:344-53 https://doi.org/10.2319/031209-143.1
  18. Yuan L, Shen G, Wu Y, Jiang L, Yang Z, Liu J et al (2013) Three-dimensional analysis of soft tissue changes in full-face view after surgical correction of skeletal class III malocclusion. J Craniofac Surg 24:725-30 https://doi.org/10.1097/SCS.0b013e31828010a9
  19. Jung YJ, Kim MJ, Baek SH (2009) Hard and soft tissue changes after correction of mandibular prognathism and facial asymmetry by mandibular setback surgery: three-dimensional analysis using computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(763-71), e8 https://doi.org/10.1016/j.tripleo.2008.10.014
  20. Lim YK, Chu EH, Lee DY, Yang IH, Baek SH (2010) Three-dimensional evaluation of soft tissue change gradients after mandibular setback surgery in skeletal class III malocclusion. Angle Orthod 80:896-903 https://doi.org/10.2319/021210-90.1
  21. Baik HS, Kim SY (2010) Facial soft-tissue changes in skeletal Class III orthognathic surgery patients analyzed with 3-dimensional laser scanning. Am J Orthod Dentofacial Orthop 138:167-78 https://doi.org/10.1016/j.ajodo.2010.02.022
  22. Kau CH, Cronin AJ, Richmond S (2007) A three-dimensional evaluation of postoperative swelling following orthognathic surgery at 6 months. Plast Reconstr Surg 119:2192-9 https://doi.org/10.1097/01.prs.0000260707.99001.79
  23. Hershey HG, Smith LH (1974) Soft-tissue profile change associated with surgical correction of the prognathic mandible. Am J Orthod 65:483 https://doi.org/10.1016/0002-9416(74)90031-1
  24. Robinson SW, Speidel TM, Isaacson RJ, Worms FW (1972) Soft tissue profile change produced by reduction of mandibular prognathism. Angle Orthod 42:227-235

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