Langzeitergebnisse nach Genioplastik

Segner, Dietmar; Höltje, W. J.

doi:10.1007/bf02166728

Cited by 12 publications

(3 citation statements)

References 3 publications

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“…In detail, no bone resorption or fixation instability was observed in patients on control radiography one year after surgery, and only 2 cases (1,76%) of superinfection where find out. Segner et al 55 published a paper on stability that shows higher variability of the results in terms of soft tissue profile predictability after surgical genioplasty, but on the other hand can confirm, according to Guyuron's et al 56 work, that chin osteotomy is a well-established technique and can be applied individually or in combination with other procedures for each patient, achieving good results and avoiding the cost of an alloplastic material.…”

Section: Accepted Manuscriptmentioning

confidence: 94%

Single-Step Full-Face Surgical Treatment of the Facial Profile

et al. 2023

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Objective: The present study was performed in order to describe how much affordable, feasible and straightforward is the approach the authors called “single stage full face surgical profileplasty”, tailored to greatly improve the surgery of the facial profiling setting and achieving a complete profile correction at the same time. Materials and methods: From January 2010 to May 2019, 113 patients (95 females and 18 males; ages 19−63 years) were surgically treated for the full-face profile amelioration. Profile correction was performed by using a combination of five procedures out of other various previously experienced: Forehead fat grafting, Rhinoplasty, Lip fat grafting, Genioplasty and Submental Liposuction. All patients were assessed at 1, 3, 6 and 12 months following surgery for assessing the Surgical Profile Treatment (SPT) outcome and any possible side effects of the combined treatment. Facial profile stability at one year was taken as the completion point of this treatment. The Arnett’s “Soft tissue cephalometric analysis” (1999) was used to clinically evaluate the soft tissues before and after the Surgical Profile Treatment. Patients’ satisfaction was measured with the Client Satisfaction Questionnaire-8” (CSQ-8) at 3 and 12 months after surgery. Statistics were used for Arnett’s evaluation. Results: Almost all the values were consistent and reached the normal ranges indicated by Arnett, (p<0.001) confirming that the desired results of the surgical profileplasty have been achieved. Conclusion: Single stage full face surgical profile treatment helps in correcting faults of the global facial deformity and even in every single treated area, providing an overall improvement in face aesthetics and harmony. Obtaining the simultaneous correction in the whole face has also the advantage of avoiding multiple surgical procedures, reducing post-op discomfort and the overall risks for the patient due to multiple surgical and anesthetic procedures.

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Section: Accepted Manuscriptmentioning

confidence: 94%

Single-Step Full-Face Surgical Treatment of the Facial Profile

et al. 2023

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“…Impaction genioplasty 35 (fig. 14) This procedure can generally be offered from 12 years of age (eruption of canine teeth) to facilitate labial occlusion in the resting position and consequently improve nasal respiration.…”

Section: Beginning Treatmentmentioning

confidence: 99%

“…From an esthetic point of view, correction may be required if modifications cause a maxillary gesture (particularly a strong advancement or an important impaction). • Genioplasty 35 (fig. 18)…”

Section: • Ablation Of Osteosynthesis Materialsmentioning

confidence: 99%

Orthodontic–surgical strategy in 2016

Okeily

Makaremi

Makhoukhi

et al. 2016

J Dentofacial Anom Orthod

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The fundamental basics of patient care, during orthognathic surgery, have been well known for several years. This therapeutic treatment requires cooperation between orthodontist and surgeon from the orthodontic preparation stage until the retention period. Over the past few years, the combined surgical and orthodontic protocols have undergone both an important technical and conceptual evolution, making them easier to tolerate with more stable results. The main explanation for this is more systematic consideration of the functional parameters involved in the treatment, leading to multidisciplinary care.We found it interesting, in 2016, to update on this combined surgical and orthodontic therapeutic strategy.

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Combined Rhinoplasty and Genioplasty

Bertossi

Aglietta

Turra

et al. 2013

JAMA Facial Plast Surg

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Importance: Long-term follow-up reference for experienced clinicians dedicated to profileplasty.Objective: To evaluate the long-term results and complications of combined rhinoplasty and genioplasty.Design: Retrospective study including objective and subjective evaluation before and after 3 years of undergoing simultaneous open rhinoplasty and genioplasty among a cohort of 90 patients.Setting: Academic medical center. Patients: A total of 90 cases of combined rhinoplasty and genioplasty performed from January 2002 through January 2004 were reviewed to evaluate the stability of the esthetic result. Main Outcome Measure: Long-term stability of the esthetic outcome of the simultaneous open rhinoplasty and genioplasty.Results: Soft-tissue Pogonion projection to the true vertical line and mandibular height (mandibular incisor tip to menton) were recorded. As far as reduction genioplasty patients are concerned, 45.6% of the patient population had a 100% stability after 3 years (Ͻ0.25 mm re-sorption measured at the menton). On the other hand, if augmentation genioplasty patients are considered, 52.4% (22 patients with a vertical augmentation range from 4-6 mm; mean, 5.3 mm; and 25 patients with a sagittal augmentation from 6-8 mm; mean, 7.2 mm) had 100% stability after 3 years. The chin was stable with no more than 1 mm of recurrence. Conclusions and Relevance:The results of the study indicate that the combined approach in correcting the facial profile is an effective procedure to achieve a more harmonic and consistent clinical outcome. The recurrence rate of less than 1 mm on the chin bone measurements is relevant to support this statement. An aesthetically proportionate face is strongly determined by the nasal-cervical relationship when observing the patient's profile. Even after a successful rhinoplasty, the patient's face can lack aesthetic attractiveness. Combined rhinoplasty-genioplasty is usually the best solution, particularly for patients with microgenia. It provides optimum patient satisfaction with a low incidence of recurrence.

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Langzeitergebnisse nach Genioplastik

Cited by 12 publications

References 3 publications

Single-Step Full-Face Surgical Treatment of the Facial Profile

Single-Step Full-Face Surgical Treatment of the Facial Profile

Orthodontic–surgical strategy in 2016

Combined Rhinoplasty and Genioplasty

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