Surgery-first orthognathic approach for the correction of facial asymmetry

Choi, Jong Woo; Park, Hojin; Kwon, Soonman; Lee, Jang Yeol

doi:10.1016/j.jcms.2021.04.005

Cited by 15 publications

(11 citation statements)

References 25 publications

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“…Sin embargo, el tratamiento ortodóntico fue más corto en el grupo en el que se realizó primero la cirugía en comparación con el grupo en el que se realizó primero la ortodoncia. 21 De igual manera Watanabe Y llevó a cabo un estudio retrospectivo donde aplicó la vía de tratamiento para asimetría facial severa en un abordaje de cirugía primero en cinco pacientes, cuatro del sexo femenino y uno del sexo masculino, al plazo de 1.5 a dos años se comprobó que la asimetría facial mejoró notablemente en todos los pacientes y el tiempo de ortodoncia promedio fue de 16.2 meses, siendo relativamente corto, obteniéndose una oclusión estable. Sin embargo, en una paciente fue necesario programar una cirugía complementaria para injerto de tejido adiposo y así mejorar la simetría.…”

Section: Discussionunclassified

Tratamiento ortodóncico-quirúrgico de pacientes con asimetría facial.

Bonifaz¹,

Montiel²,

Alvarado³

2022

Revista De La Asociación Dental Mexicana

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RESUMENIntroducción: la asimetría facial es una condición notoria en el tercio inferior de la facie del sujeto y entre los tercios medio y superior, en este último será menos evidente esta condición, de tal manera que podría considerarse como una de las molestias de mayor incidencia en pacientes con necesidades o no de terapia ortodóncica. Objetivo: evaluar mediante una revisión de la literatura los tratamientos ortodóncico-quirúrgicos de pacientes con asimetría facial. Material y métodos: la literatura se seleccionó mediante una búsqueda en las bases de datos electrónicas: PubMed, Scopus, Web of Science. Las palabras clave utilizadas fueron: facial asymmetry, asymmetry, surgical treatment, surgical orthodontic treatment. La búsqueda se restringió a artículos en inglés publicados del año 2011 al 2021. Resultados: después de aplicar los criterios de inclusión y exclusión en total se obtuvieron y revisaron 27 artículos. Se realizó la revisión de literatura del tratamiento ortodóncico-quirúrgico en pacientes con asimetría facial. Conclusión: es preciso el abordaje ortodóntico quirúrgico para la corrección de la asimetría facial, del protocolo dependerá la situación clínica y la elección de tratamiento ortodóntico quirúrgico, lo que brindará mejoras significativas en la simetría facial.Palabras clave: asimetría facial, asimetría, tratamiento quirúrgico, tratamiento de ortodoncia quirúrgica. INTRODUCCIÓNE n la actualidad se ha vuelto más notoria una anomalía/condición o deformidad craneofacial denominada asimetría facial, principalmente en el tercio inferior de la Tratamiento ortodóncico-quirúrgico de pacientes con asimetría facial.Orthodontic-surgical treatment of patients with facial asymmetry.

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Section: Discussionunclassified

Tratamiento ortodóncico-quirúrgico de pacientes con asimetría facial.

Bonifaz¹,

Montiel²,

Alvarado³

2022

Revista De La Asociación Dental Mexicana

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“…So far, only Choi et al 7 assessed the efficacy and stability of surgery-first approach in skeletal dentofacial asymmetry. However, the posteroanterior cephalometric radiographs used for measurement may reduce the accuracy of measurement since the data were two-dimensional.…”

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confidence: 99%

Application of Surgery-First Approach in Treating Skeletal Dentofacial Asymmetry with Orthognathic Surgery

Chen¹,

Zhong²,

et al. 2023

Journal of Craniofacial Surgery

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Background: Skeletal dentofacial asymmetry decreases patient’s attractiveness by deteriorating symmetry of facial appearance which is of great significance to individuals. Surgery-first orthognathic approach manifests its advantages of shortening treatment time and improving patient’s quality of life. However, current literature on surgery-first approach mainly focuses on treating prognathism, overlooking its efficacy in improving facial symmetry of skeletal dentofacial asymmetry patients. This study aimed to assess SFA’s efficacy in improving facial appearance by analyzing morphological features of asymmetric bone and facial soft tissue in a three-dimensional manner. Methods: Thirty-four patients who received orthognathic surgery in a surgery-first fashion were included. Based on three-dimensional CT reconstruction, bilateral preoperative morphological features and postoperative symmetry of hard tissue were compared respectively. Efficacy of facial soft tissue symmetry restoration was evaluated using root mean square deviation (RMSD). Results: Asymmetric features mainly located in menton, mandibular body length, angulation between ramus and midsagittal plane (MSP), distance between gonion and MSP and so on, which were significantly restored after the whole treatment. RMSD of facial soft tissue surface were significantly declined after the treatment and prognathism was corrected simultaneously if existed. Conclusions: Surgery-first orthognathic approach is proved to be capable of treating skeletal dentofacial asymmetry effectively and efficiently.

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“…As physicians become more aware and comfortable with the concept of surgery-first approach for the correct patient, the field will continue to evolve as we become more innovative in our approach to orthognathic surgery. While the most common contemporary indication is in the treatment of class III patients (Figure 5), there are expanding indications for the surgery-first approach, including patients with craniofacial differences, class II malocclusuions, and asymmetries [28][29][30][31][32][33][34]. One such pathology that has been more recently looked at is its role in the treatment of facial asymmetry cases.…”

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confidence: 99%

“…One such pathology that has been more recently looked at is its role in the treatment of facial asymmetry cases. A recent study by Choi et al has demonstrated through the use of AI assessing cephalometric measurements that relapse rates are similar in both orthodontics first and surgery first approaches [33]. Moreover, they have been able to show that despite the difficulties in both the assessment and treatment of patients with facial asymmetries, using the surgery first model, they can achieve predictable results [31].…”

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confidence: 99%

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Current Trends in Orthognathic Surgery

Zammit,

Ettinger,

Sanati-Mehrizy

et al. 2023

Medicina

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Orthognathic surgery has evolved significantly over the past century. Osteotomies of the midface and mandible are contemporaneously used to perform independent or coordinated movements to address functional and aesthetic problems. Specific advances in the past twenty years include increasing fidelity with computer-assisted planning, the use of patient-specific fixation, expanding indications for management of upper airway obstruction, and shifts in orthodontic-surgical paradigms. This review article serves to highlight the contemporary practice of orthognathic surgery.

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Surgery-first orthognathic approach for the correction of facial asymmetry

Cited by 15 publications

References 25 publications

Tratamiento ortodóncico-quirúrgico de pacientes con asimetría facial.

Tratamiento ortodóncico-quirúrgico de pacientes con asimetría facial.

Application of Surgery-First Approach in Treating Skeletal Dentofacial Asymmetry with Orthognathic Surgery

Current Trends in Orthognathic Surgery

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