Impact of genioplasty during puberty on the upper airways

Bedoucha, Valérie; Boutin, François; Frapier, Laure

doi:10.1016/j.ortho.2015.09.005

Cited by 4 publications

(7 citation statements)

References 28 publications

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“…Of the total of the selected articles, there were 3 prospective case series studies representing 30 % (Riley et al, 1993;Dos Santos Junior et al ., 2007;Anchlia et al ., 2018), 3 prospective cohort studies corresponding to 30 % (Yin et al ., 2007;Frapier et al ., 2010;Du et al . ), 2 retrospective series studies of cases of 20 % (Miller et al, 2004;Cillo et al), 1 case report (Riley et al, 1984) and 1 case control study (Bedoucha et al, 2015), which represents 10 % respectively (Table II).…”

Section: Resultsmentioning

confidence: 99%

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Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

González¹,

Garcia-Guevara

Viamonte

et al. 2022

Int. J. Morphol.

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The aim of this research was to evaluate the changes obtained with the mentoplasty technique in the increase of the airway imaging. A systemic review was performed using the parameters of the prism matrix, in the PubMed, Science Direct, Redalyc database, covering the years 1984 to 2019 with the use of defined inclusion criteria. The authors independently applied the selected parameter of data extraction, study selection and risk-to-bias assessment. A total of 1,251 articles were obtained among the 3 databases, of which 10 met the inclusion criteria. The variables studied were: type of research, sample size, sex, age, dento-skeletal diagnosis, airway classification, diagnosis of obstructive sleep apnea syndrome (OSAS), type of imaging evaluation, variables evaluated in the image, pre and post-operative values, surgical technique and type of fixation used, other surgical procedures applied, and complications. In the cases of linear evaluation with cephalometric analysis (9 articles) they used PAS (posterior airspace), MP-H (mandibular plane to the hyoid) and SNB (saddle-nasion-point B), and SCSA (section area as the most relevant points, smallest cross section) and VT (total volume) in the volumetric evaluations (2 articles). The average change in posterior airspace achieved by the cited authors is 4.2 mm with standard deviation of 1.4 mm with the use of advancement mentoplasty. The most widely used technique was mentoplasty with a horizontal osteotomy by 5 authors. Based on the research there is a positive relationship between the increase in the airway and the advancement mentoplasty procedure, however, more standardized studies associated with the way of measuring and evaluating the relationship between advancement and the airway are necessary.

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Section: Resultsmentioning

confidence: 99%

“…In term of skeletal diagnosis, 4 articles showed the dento-facial and / or Angle classification (Riley et al, 1984;Frapier et al;Bedoucha et al;Du et al), with Class II being predominant with 72 patients, followed by Class I in 1 patient. On other hand, some articles showed patients under facial asymmetry (Anchlia et al .…”

Section: Resultsmentioning

confidence: 99%

Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

González¹,

Garcia-Guevara

Viamonte

et al. 2022

Int. J. Morphol.

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“…However, the role of genioplasty in improving children's breathing is limited. It derives only from a few assessments such as Bedoucha and Al in 2015 (41), who state that early genioplasty performed during growth can help correct nasal breathing by the recalibration of the upper airway at the oropharyngeal level. This is consistent with Frapier et al 2011 (23) and Chamberland et al2015(42).…”

Section: Discussionmentioning

confidence: 99%

The Orthodontic Management of Obstructive Sleep Apnea : A Systematic Review

et al. 2022

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Background: Obstructive Sleep Apnea (OSA) is considered to be a real public health problem, often unrecognized or underdiagnosed, requiring multidisciplinary care including orthodontics that plays an essential role in the screening and the management of ventilation. Objective: The aim of our study is to explain the important place of orthodontic therapies, whether orthopedic or surgical, in the multidisciplinary management of OSA and in the improvement of nasal breathing through a systematic review. Material and methods: A search of the literature was performed in the following databases: PubMed, ScienceDirect, Cochrane Library . The search was limited to publications written in English and French from 2010 to January 2022. Results: On the basis of the keywords, eighty-three references were initially identified. After the elimination of duplicates, the number of articles was reduced to seventy-nine. The study of the titles and abstracts made it possible to select fifty articles. After reading the full text, sixteen publications were included in this systematic review. Eight studies have investigated rapid maxillary expansion (RME), five studies have evaluated the effect of mandibular advancement (MA) and three studies have investigated the effect of genioplasty in children with OSA. Conclusion: Orthodontic arsenal, whether orthopedic, orthodontic, or surgical correction of jaws, is well suited and extremely beneficial for OSA treatment.

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“…Furthermore, chin implants may cause resorption of the underlying bone, have the risk of dislocation, and are associated with lower patient satisfaction [7], [15], [16]. If performed during adolescence, genioplasty affects the upper airway at the level of the oropharynx and can improve sleep breathing disorders [17].…”

Section: Discussionmentioning

confidence: 99%

Effect of Location of Genioplasty Osteotomy Line on Hard- and Soft-Tissue Contour of the Chin and Related Complications

Dehghani

Abbasi

Heidari

et al. 2020

Open Access Maced J Med Sci

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AIM: This study aimed to assess the effect of the location of the genioplasty osteotomy line on hard- and soft-tissue contour of the chin and the occurrence of irregularity in the inferior border of the mandible. METHODS: In this retrospective cohort study, 20 patients who had undergone osseous genioplasty were divided into two groups with (A) osteotomy line at the premolar site and (B) osteotomy line at the molar site and were evaluated for irregularity in the inferior border of the mandible. Assessments were made using lateral cephalometry, panoramic radiography, and clinical examinations. Patients were also asked about their level of satisfaction with the outcome. RESULTS: Radiographically, 70% of patients in Group A and 40% of those in Group B had an irregularity in the inferior border of the mandible (p > 0.05). Palpation revealed that 70% in Group A and 60% in Group B had an irregularity in the inferior border of the mandible (p > 0.05). Inspection revealed such irregularity in 80% of patients in Group A and 20% in Group B (p < 0.05). Overall, 60% in Group A and 90% in Group B were satisfied with the results of genioplasty and did not mention anything about the occurrence of this complication (p > 0.05). CONCLUSIONS: Genioplasty with an osteotomy line at the molar site (compared to premolar site) had a lower incidence of the irregularity of the inferior border of the mandible and yielded higher patient satisfaction with the outcome. PRACTICAL IMPLICATIONS: Irregularity in the inferior border of mandible following conventional genioplasty is a common finding on radiographic and clinical examinations.

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Impact of genioplasty during puberty on the upper airways

Cited by 4 publications

References 28 publications

Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

The Orthodontic Management of Obstructive Sleep Apnea : A Systematic Review

Effect of Location of Genioplasty Osteotomy Line on Hard- and Soft-Tissue Contour of the Chin and Related Complications

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