Ventilatory disorders and facial growth: Benefits of early genioplasty

Frapier, Laure; Picot, Marie‐Christine; Gonzalès, Jacques; Massif, Laurent; Breton, Isabelle; Dauvilliers, Yves; Goudot, P.

doi:10.1016/j.ortho.2010.12.005

Cited by 8 publications

(4 citation statements)

References 31 publications

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“…6 Martinez et al 7 reported in 1999 that there is better regeneration of symphysis thickness in patients younger than age 15 than in older nongrowing individuals. More recently, Frapier et al 8,9 suggested that early genioplasty could improve the direction of mandibular growth and might increase nasal breathing because of improved lip function, but these assertions were based on samples that were too small and diverse for broad generalization.…”

Section: Introductionmentioning

confidence: 99%

Functional genioplasty in growing patients

Chamberland¹,

Chamberland

2014

The Angle Orthodontist

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Objective: To evaluate the role of age as a moderator of bone regeneration patterns and symphysis remodeling after genioplasty. Method: Fifty-four patients who underwent genioplasty at the end of their orthodontic treatment were divided into three age groups: younger than 15 years at the time of surgery (group 1), 15 to 19 years (group 2), and 20 years or older (group 3). Twenty-three patients who did not accept genioplasty and had a follow-up radiograph 2 years after the end of their orthodontic treatment were used as a control group. Patients were evaluated at three time points: immediate preoperative (T1), immediate postoperative (T2,) and 2 years postsurgery (T3). Results: The mean genial advancement at surgery was similar for the three age groups, but the extent of remodeling around the repositioned chin was greater in group 1, less in group 2, and still less in group 3. Symphysis thickness increased significantly during the 2-year postsurgery interval for the three groups, and this increase was significantly greater in group 1 than in group 3. Remodeling above and behind the repositioned chin also was greater in the younger patients. This was related to greater vertical growth of the dentoalveolar process in the younger patients. There was no evidence of a deleterious effect on mandibular growth. Conclusion: The outcomes of forward-upward genioplasty include increased symphysis thickness, bone apposition above B point, and remodeling at the inferior border. When indications for this type of genioplasty are recognized, early surgical correction (before age 15) produces a better outcome in terms of bone remodeling. (Angle Orthod. 2015;85:360-373.)

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Section: Introductionmentioning

confidence: 99%

Functional genioplasty in growing patients

Chamberland¹,

Chamberland

2014

The Angle Orthodontist

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“…This is consistent with Frapier et al 2011 (23) and Chamberland et al2015(42). Frapier and Al in 2010 (24) and 2011 (23), reported that genioplasty performed during the growth promotes change in the direction of mandibular growth towards anterior rotation with a sagittal gain, which is beneficial for increasing pharyngeal dimension and improvement of ventilation, Chamberland and al. reported same results in 2015 (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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“…It allows redirection of mandibular growth reducing the open bite in wide angle class II patients (Precious and Delaire, 1985; Frapier et al, 2010). It enables lip competence and upper airway recalibration, therefore increasing velopharyngeal and linguopharyngeal spaces (Frapier et al, 2011; Bedoucha et al, 2015). Patients with HSS, in addition to their craniofacial deformities, often suffer from narrow upper airway potentially leading to obstructive sleep apnea (Cohen, 1991; David et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Innovative Multidisciplinary Management of Hallermann-Streiff Syndrome

Dulong

Bornert

Gros

et al. 2018

The Cleft Palate Craniofacial Journal

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Hallermann-Streiff syndrome (HSS) is a rare congenital disorder that mainly affects head and face development. We described the different patterns of the disease throughout the whole growth period and provided innovative treatment steps. Indeed, early genioplasty and dental implantation before growth completion were performed. These steps allowed to improve facial growth and to provide orthodontic anchorage, respectively. Complementary orthognathic surgery achieved satisfactory occlusion and refined aesthetics. We believe such an approach could be considered as a relevant treatment modality to complete multidisciplinary care in patients with HSS.

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Ventilatory disorders and facial growth: Benefits of early genioplasty

Cited by 8 publications

References 31 publications

Functional genioplasty in growing patients

Functional genioplasty in growing patients

The Orthodontic Management of Obstructive Sleep Apnea : A Systematic Review

Diagnosis and Innovative Multidisciplinary Management of Hallermann-Streiff Syndrome

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