Change in Inferior Sclera Exposure Following Le Fort I Osteotomy in Patients With Midfacial Retrognathia

Soydan, Sıdıka Sinem; Bayram, Burak; Şar, Çağla; Uçkan, Sina

doi:10.1016/j.joms.2013.09.025

Cited by 10 publications

(13 citation statements)

References 12 publications

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“…This area includes the eyeballs, eyelids, eyebrows and cheeks. The symmetry, form and position of these components are extremely important because little alterations in this area contribute significantly to an individual's appearance 11 .…”

Section: Discussionmentioning

confidence: 99%

Le Fort III osteotomy for severe dentofacial deformity correction associated with hypoplasia of the midface

Sebastiani

Rebelatto

Klüppel

et al. 2016

RGO, Rev. Gaúch. Odontol.

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RESUMOA combinação da terapia ortodôntica com a cirurgia ortognática é uma modalidade de tratamento bem estabelecida para a correção de deformidades dentofaciais. Quando estas deformidades apresentam maior severidade, envolvendo a hipoplasia do terço médio da face, exigem técnicas cirúrgicas não utilizadas como rotina no tratamento das alterações faciais, como a osteotomias Le Fort III ou as variações destas técnicas. Poucos estudos relatam o uso desta técnica ou de suas modificações em pacientes não sindrômicos. Este trabalho tem como objetivo demonstrar uma resolução ortodôntica-cirúrgica de um paciente apresentando deformidade de face com má-oclusão Classe III severa, envolvendo hipoplasia do terço médio facial, com a realização de uma técnica modificada da osteotomia Le Fort III, associada as osteotomias Le Fort I e osteotomia sagital dos ramos mandibulares. O paciente encontra-se com três anos de acompanhamento pós-operatório, com melhora significativa na sua habilidade mastigatória, sem queixas funcionais, relatando alta satisfação com a estética e melhora na qualidade de vida.Termos de indexação: Face. Má oclusão. Cirurgia ortognática.

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Section: Discussionmentioning

confidence: 99%

Le Fort III osteotomy for severe dentofacial deformity correction associated with hypoplasia of the midface

Sebastiani

Rebelatto

Klüppel

et al. 2016

RGO, Rev. Gaúch. Odontol.

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“…There is some evidence to suggest that a Le Fort I advancement may help to reduce small amounts of lower scleral show by affecting the soft tissues at the infraorbital rim. 28…”

Section: % 21mentioning

confidence: 99%

The Facial Soft Tissue Effects of Orthognathic Surgery

et al. 2017

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Orthognathic surgery is undertaken to correct anteroposterior, vertical, and transverse anomalies of the maxilla and mandible. Surgery has significant effects on the overlying soft tissue envelope. Some of these effects are beneficial while others may be detrimental to facial aesthetics. This review aims to update the reader on what soft tissue changes occur following orthognathic surgery to the mandible and maxilla. It is important to anticipate the detrimental effects of orthognathic surgery as this will allow the patient to be warned about them before treatment and in some cases, adjunctive procedures may be planned to limit the unwanted changes.

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“…1 The position of the movable lower eyelid in particular is also said to be affected by the underlying midface skeleton. 1,2,3 Jelks has drawn attention to the importance of the anatomic relationship between the ocular globe, the periorbital soft tissues and the underlying skeleton with respect to midface aesthetics. A favorable relationship of these structures (i.e., positive vector) is said to exist when the most anterior projection of the globe in profile lies behind the lower eyelid margin.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…In their study group, unfavorable sclera show was reduced as a result of Le Fort I advancement. 2 If maxillary dysplasia is the root cause of the observed excessive lower eyelid scleral show, then it should be self-correcting through reconstruction of the underlying dentofacial deformity. By doing so, this would obviate the rationale for placement of either malar or infraorbital rim implants with their associated risks and costs to the patient.…”

Section: 4 Yaremchuk Agrees Withmentioning

confidence: 99%

“…The authors were not able to convincingly correlate the degree of lower eyelid change to 1) the degree of maxillary deficiency and extent of horizontal advancement 2) whether or not maxillary impaction was simultaneously carried out or 3) the exact location of the horizontal maxillary osteotomy (i.e. high vs. low LeFort I) 2. According to our study, a significant minority of Long Face growth pattern patients (22%) scheduled to undergo orthognathic surgery have excessive exposure between the lower eyelid and the limbus.…”

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confidence: 99%

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Individuals With a Long Face Growth Pattern and Excess Inferior Scleral Exposure: Is There Improvement After Maxillary (Le Fort I) Advancement and Vertical Shortening?

Posnick

Sami

2015

Journal of Oral and Maxillofacial Surgery

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Change in Inferior Sclera Exposure Following Le Fort I Osteotomy in Patients With Midfacial Retrognathia

Cited by 10 publications

References 12 publications

Le Fort III osteotomy for severe dentofacial deformity correction associated with hypoplasia of the midface

Le Fort III osteotomy for severe dentofacial deformity correction associated with hypoplasia of the midface

The Facial Soft Tissue Effects of Orthognathic Surgery

Individuals With a Long Face Growth Pattern and Excess Inferior Scleral Exposure: Is There Improvement After Maxillary (Le Fort I) Advancement and Vertical Shortening?

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