Abstract
Purpose
The aim of this retrospective study was to investigate the soft tissue changes after maxillary advancement in class III patients.
Methods
Pre- and post-operative lateral cephalometric radiographs of 20 patients treated with maxillary advancement surgery were included in our study. Skeletal, dental and soft tissue measurements were performed by a single researcher using Dolphin Imaging software version 11.95 (Dolphin Imaging, Chatsworth, CA, USA). Paired t test was used for statistical evaluation and p < 0.05 was considered statistically significant.
Results
The amount of motion in soft tissues, respectively, are UL-E: 2.05 mm, ST.A: 0.65 mm, ST.B: − 5 mm, ST.Pog: − 5.73 mm, ST.Conv: − 3.95 mm, nasal prominence: − 1.58 mm, nasal height: 2.76 mm and upper lip length: 2.22 mm. The change of distance to horizontal and vertical reference planes are, respectively, Prn-HRL: 3.02 mm Prn-VRL: 1.76 mm Sn-HRL: 2.76 mm Sn-VRL: 2.94 mm ST.A-HRL: 3.74 mm ST.A-VRL: 3.81 mm UL-HL: 3.93 mm UL-VRL: 4.57 mm LL-HRL: 2.29 mm LL-VRL: 5.31 mm.
Conclusions
It can be concluded that soft tissues related to maxilla moved anteriorly due to maxillary advancement.
Similar content being viewed by others
Data availability
The datasets generated and/or analyzed during the current study are not publicly available due to ethical approval but are available from the corresponding author and ethical committee on reasonable request.
References
Kiyak HA, Vitaliano PP, Crinean J (1988) Patients' expectations as predictors of orthognathic surgery outcomes. Health Psychol 7(3):251–268
Mavili ME, Canter HI, Saglam-Aydinatay B, Kocadereli I (2007) Tridimensional evaluation of maxillary and mandibular movements in orthognathic surgery. J Craniofac Surg 18(4):792–799
Enacar A, Taner T, Toroğlu S (1999) Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. Int J Adult Orthodon Orthognath Surg 14(1):27–35
Stearns JW, Fonseca RJ, Saker M (2000) Revascularization and healing of orthognathic surgical procedures. In: Fonseca RJ, Betts NJ, Turvey TA (eds) Oral and maxillofacial surgery, vol 2. Saunders, Philadelphia, pp 151–168
Constantinides MS, Galli SKD, Miller PJ, Adamson PA (2000) Malar, submalar, and midfacial implants. Facial Plast Surg 16(1):35–44
Bozkir M, Karakas P, Oguz Ö (2004) Vertical and horizontal neoclassical facial canons in Turkish young adults. Surg Radiol Anat 26(3):212–219
Hulsey CM (1970) An esthetic evaluation of lip-teeth relationships present in the smile. Am J Orthod 57(2):132–144
Mackley RJ (1993) An evaluation of smiles before and after orthodontic treatment. Angle Orthod 63(3):183–189
Rosenberg AJ, Muradin MS, van der Bilt AN, Rosenberg AJWP, Muradin MS, van der Bilt A (2002) Nasolabial esthetics after Le Fort I osteotomy and VY closure: a statistical evaluation. The effect of alar cinch sutures and VY closure versus simple closing sutures after Le Fort I osteotomies on nasolabial esthetics and dynamics, p 25
Freihofer HP Jr (1977) Changes in nasal profile after maxillary advancement in cleft and non-cleft patients. J Maxillofac Surg 5:20–27
Freihofer Hans Peter M Jr (1976) The lip profile after correction of retromaxillism in cleft and non-cleft patients. J Maxillofac Surg 4:136–141
Tomlak DJ, Piecuch JF, Weinstein S (1984) Morphologic analysis of upper lip area following maxillary osteotomy via the tunneling approach. Am J Orthod 85(6):488–493
Jensen AC, Sinclair PM, Wolford LM (1992) Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 101(3):266–275
Mansour SP (1983) An evaluation of soft-tissue changes resulting from LeFort I maxillary surgery. Am J Orthod Dentofacial Orthop 83(3):264–265
Brooks BW, Buschang PH, Bates JD, Adams TB, English JD (2001) Predicting upper lip response to 4-piece maxillary LeFort I osteotomy. Am J Orthod Dentofacial Orthop 120(2):124–133
Millard DR Jr (1980) The alar cinch in the flat, flaring nose. Plast Reconstr Surg 65(5):669–672
Westermark AH, Bystedt H, von Konow L, Sällström KO (1991) Nasolabial morphology after Le Fort I osteotomies effect of alar base suture. Int J Oral Maxillofac Surg 20(1):25–30
Loh FC (1993) A new technique of alar base cinching following maxillary osteotomy. Int J Adult Orthodon Orthognath Surg 8(1):33–36
Seah TE, Bellis H, Ilankovan V (2012) Orthognathic patients with nasal deformities: case for simultaneous orthognathic surgery and rhinoplasty. Brit J Oral Max Surg 50(1):55–59
Kinnebrew MC, Emison JW (1987) Simultaneous maxillary and nasal reconstruction: an analysis of twenty-five cases. J Craniomaxillofac Surg 15:312–325
Rosen HM (1988) Lip-nasal aesthetics following Le Fort I osteotomy. Plast Reconstr Surg 81(2):171–182
Worasakwutiphong S, Chuang Y-F, Chang H-W, Lin H-H, Lin P-J, Lo LJ (2015) Nasal changes after orthognathic surgery for patients with prognathism and Class III malocclusion: analysis using three-dimensional photogrammetry. J Formos Med Assoc 114(2):112–123
Vasudavan S, Jayaratne YS, Padwa BL (2012) Nasolabial soft tissue changes after Le Fort I advancement. J Oral Maxillofac Surg 70(4):270–277
Ghassemi M, Hilgers R-D, Jamilian A, Shokatbakhsh A, Hölzle F, Fritz U et al (2015) Effect of maxillary advancement on the change in the soft tissues after treatment of patients with class III malocclusion. Br J Oral Maxillofac Surg 53(8):754–759
Baik H-S, Kim S-YJA (2010) Facial soft-tissue changes in skeletal Class III orthognathic surgery patients analyzed with 3-dimensional laser scanning. Am J Orthod Dentofac Orthop 138(2):167–178
Ko EW-C, Figueroa AA, Polley JW (2000) Soft tissue profile changes after maxillary advancement with distraction osteogenesis by use of a rigid external distraction device: a 1-year follow-up. J Oral Maxillofac Surg 58(9):959–969
Mommaerts MY, Lippens F, Abeloos JV, Neyt LF (2000) Nasal profile changes after maxillary impaction and advancement surgery. J Oral Maxillofac Surg 58(5):470–475
Honrado CP, Lee S, Bloomquist DS, Larrabee WF (2006) Quantitative assessment of nasal changes after maxillomandibular surgery using a 3-dimensional digital imaging system. Arch Facial Plast Surg 8(1):26–35
Khamashta-Ledezma L, Naini FB (2015) Prospective assessment of maxillary advancement effects: maxillary incisor exposure, and upper lip and nasal changes. Int J Oral Maxillofac Surg 147(4):454–464
Radney LJ, Jacobs JD (1981) Soft-tissue changes associated with surgical total maxillary intrusion. Am J Orthod 80(2):191–212
Carlotti AE, Aschaffenburg PH, Schendel SA (1986) Facial changes associated with surgical advancement of the lip and maxilla. J Oral Maxillofac Surg 44(8):593–596
Borstlap WA, Stoelinga PJW, Hoppenreijs TJM, Van’t Hof MA (2004) Stabilisation of sagittal split advancement osteotomies with miniplates: a prospective, multicentre study with two-year follow-up: Part I. Clinical parameters. Int J Oral Maxillofac Surg 33(5):433–441
Proffit WR, Fields H, Sarver DJSL (2007) Contemporary orthodontics. Mosby, Amsterdam
Koh CH, Chew MT (2004) Predictability of soft tissue profile changes following bimaxillary surgery in skeletal class III Chinese patients. J Oral Maxillofac Surg 62(12):1505–1509
Funding
There is no funding body in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.
Author information
Authors and Affiliations
Contributions
BKÜ and TSE contributed to the data collection and processing, analysis and interpretation, and critical reviews. GG and BA contributed to the data analysis and interpretation and manuscript preparation. BA contributed to the study concept and design and supervision. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no competing interests.
Ethics approval and consent to participate
This research does not involve human participants and/or animals. This research involves archival radiographic materials. This research was approved by the Research and Ethics Committee of Izmir Katip Celebi University of Medicine and Health Sciences (Ref. No. 359).
Consent for publication
Not applicable.
Informed consent
This was a retrospective data analysis study and it did not need informed consent.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Akan, B., Gökçe, G., Karadede Ünal, B. et al. Assessment of soft tissue changes after LeFort I advancement. Eur Arch Otorhinolaryngol 278, 813–819 (2021). https://doi.org/10.1007/s00405-020-06295-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-020-06295-y