Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients
Abstract Background Facial profile soft tissue changes after orthognathic surgery are crucial for surgery success. This retrospective study evaluated soft tissue changes after maxillo-mandibular Advancement and counter clockwise rotation surgery in obstructive sleep apnea syndrome patients. Methods...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | Head & Face Medicine |
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| Online Access: | http://link.springer.com/article/10.1186/s13005-017-0149-x |
| _version_ | 1819211419441168384 |
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| author | Julio Cifuentes Christian Teuber Alfredo Gantz Ariel Barrera Gholamreza Danesh Nicolas Yanine Carsten Lippold |
| author_facet | Julio Cifuentes Christian Teuber Alfredo Gantz Ariel Barrera Gholamreza Danesh Nicolas Yanine Carsten Lippold |
| author_sort | Julio Cifuentes |
| collection | DOAJ |
| description | Abstract Background Facial profile soft tissue changes after orthognathic surgery are crucial for surgery success. This retrospective study evaluated soft tissue changes after maxillo-mandibular Advancement and counter clockwise rotation surgery in obstructive sleep apnea syndrome patients. Methods Thirty-seven obstructive sleep apnea syndrome patients (30 male, 7 female, mean age 35.8 years) whose underwent maxillo-mandibular-advancement and counter clockwise rotation surgery were studied after two intervals of time, presurgical, postsurgical and follow up (1–6 months and 1–5 years) using Dolphing Imaging Software. The soft tissue changes that were evaluated included Glabela, nasal projection, Subnasale, superior incisor, superior lip, inferior incisor, inferior lip, soft tissue B’ point and soft tissue Pogonion. Points were measured from true vertical line on the horizontal plane according to Arnett soft tissue profile analysis. Wilcoxon test was applied for testing differences between T0 (pre surgical), T1 (1–6 months postsurgical) and T2 (1–5 years postsurgical). Results Cephalometric points changed to more aesthetic parameters. The largest advancements took place in the mandible, due to patients’ anatomic characteristics and treatment planning, whose were measured at cephalometric points B′ (9,05 mm) and Pog’ (11,92 mm) at T0–T2. In all patients aesthetics goals were accomplished. Conclusion This study showed that maxillo-mandibular advancement and counter clockwise rotation surgery is an effective treatment for OSAS, with good aesthetic results. |
| first_indexed | 2024-12-23T06:26:46Z |
| format | Article |
| id | doaj.art-6c35f406e0f54a03afebe2fe0f8bf8c7 |
| institution | Directory Open Access Journal |
| issn | 1746-160X |
| language | English |
| last_indexed | 2024-12-23T06:26:46Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Head & Face Medicine |
| spelling | doaj.art-6c35f406e0f54a03afebe2fe0f8bf8c72022-12-21T17:57:03ZengBMCHead & Face Medicine1746-160X2017-06-011311810.1186/s13005-017-0149-xFacial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patientsJulio Cifuentes0Christian Teuber1Alfredo Gantz2Ariel Barrera3Gholamreza Danesh4Nicolas Yanine5Carsten Lippold6Department of Oral and Maxillofacial Surgery, Clinica AlemanaDepartment of Oral and Maxillofacial Surgery, Pontificia Universidad Católica de ChileDepartment of Oral and Maxillofacial Surgery, Clinica AlemanaDepartment of Oral and Maxillofacial Surgery, Clinica AlemanaDepartment of Orthodontics, Faculty of Health, University Witten/HerdeckeDepartment of Oral and Maxillofacial Surgery, Clinica AlemanaDepartment of Orthodontics, Universitätsklinikum MünsterAbstract Background Facial profile soft tissue changes after orthognathic surgery are crucial for surgery success. This retrospective study evaluated soft tissue changes after maxillo-mandibular Advancement and counter clockwise rotation surgery in obstructive sleep apnea syndrome patients. Methods Thirty-seven obstructive sleep apnea syndrome patients (30 male, 7 female, mean age 35.8 years) whose underwent maxillo-mandibular-advancement and counter clockwise rotation surgery were studied after two intervals of time, presurgical, postsurgical and follow up (1–6 months and 1–5 years) using Dolphing Imaging Software. The soft tissue changes that were evaluated included Glabela, nasal projection, Subnasale, superior incisor, superior lip, inferior incisor, inferior lip, soft tissue B’ point and soft tissue Pogonion. Points were measured from true vertical line on the horizontal plane according to Arnett soft tissue profile analysis. Wilcoxon test was applied for testing differences between T0 (pre surgical), T1 (1–6 months postsurgical) and T2 (1–5 years postsurgical). Results Cephalometric points changed to more aesthetic parameters. The largest advancements took place in the mandible, due to patients’ anatomic characteristics and treatment planning, whose were measured at cephalometric points B′ (9,05 mm) and Pog’ (11,92 mm) at T0–T2. In all patients aesthetics goals were accomplished. Conclusion This study showed that maxillo-mandibular advancement and counter clockwise rotation surgery is an effective treatment for OSAS, with good aesthetic results.http://link.springer.com/article/10.1186/s13005-017-0149-xObstructive sleep apnoea syndromeMaxillo-Mandibular AdvancementFacial soft tissue change |
| spellingShingle | Julio Cifuentes Christian Teuber Alfredo Gantz Ariel Barrera Gholamreza Danesh Nicolas Yanine Carsten Lippold Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients Head & Face Medicine Obstructive sleep apnoea syndrome Maxillo-Mandibular Advancement Facial soft tissue change |
| title | Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients |
| title_full | Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients |
| title_fullStr | Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients |
| title_full_unstemmed | Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients |
| title_short | Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients |
| title_sort | facial soft tissue response to maxillo mandibular advancement in obstructive sleep apnea syndrome patients |
| topic | Obstructive sleep apnoea syndrome Maxillo-Mandibular Advancement Facial soft tissue change |
| url | http://link.springer.com/article/10.1186/s13005-017-0149-x |
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