Maxillofacial Plastic and Reconstructive Surgery

  • 제41권
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  • Pages.48.1-48.7
  • /
  • 2019
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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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Horizontal change of philtrum after orthognathic surgery in patients with facial asymmetry

  • Joh, Yewon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Park, Hyun Soo (Seoul Leaders Dental Clinic) ;
  • Yang, Hoon Joo (Orthognathic Surgery Center, Seoul National University Dental Hospital) ;
  • Hwang, Soon Jung (HSJ Dental Clinic for Oral and Maxillofacial Surgery)
  • 투고 : 2019.09.18
  • 심사 : 2019.10.09
  • 발행 : 2019.12.31
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초록

Background: Soft tissue asymmetry such as lip canting or deviation of the philtrum is an important influencing factor for unbalanced facial appearance. Lip canting could be improved by the correction of the occlusal canting or positional change of the mentum. Although there are many studies about changes of lip canting, however, postoperative changes of philtrum deviation have not been yet reported. In this study, we investigate the positional change of the philtrum after orthognathic surgery and influencing factors. Methods: Positional change of the philtrum was evaluated in 41 patients with facial asymmetry who underwent bimaxillary surgery, in relation to other anatomical soft tissue landmarks using a frontal clinical photo. The surgical movement of the maxillary and mandibular dental midline and canting were measured in postero-anterior cephalogram before and 1 day after surgery. The same procedure was repeated in patients with more than 1.5 mm perioperative change of the mandibular dental midline after bimaxillary surgery. Results: Maxillary dental midline shifting and canting correction did not have a significant correlation with lateral movement of the philtrum midline. However, the mandibular shift had a statistically significant correlation with a lateral movement of the philtrum (p < 0.05) as well as other linear parameters and angle values. Conclusion: The horizontal change of the philtrum is influenced by lateral mandibular movement in patients with facial asymmetry, rather than maxillary lateral movement.

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참고문헌

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피인용 문헌

  1. Surgical Orthodontic Treatment for Skeletal Class I with Facial Asymmetry and Occlusal Cant: A Case Report vol.15, pp.1, 2019, https://doi.org/10.2174/1874210602115010644