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Simultaneous Correction of Hard- and Soft-Tissue Facial Asymmetry: Combination of Orthognathic Surgery and Face Lift Using a Resorbable Fixation Device

Cited 7 time in Web of Science Cited 9 time in Scopus
Authors
Choi, Jin-Young; Choi, Jae-Pyong; Lee, Yong-Kwon; Baek, Seung-Hak
Issue Date
2010-03
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
JOURNAL OF CRANIOFACIAL SURGERY, Vol.21, No.2, pp.363-370
Keywords
Facial asymmetryface liftresorbable fixation device
Abstract
The purpose of this study was to evaluate outcomes of simultaneous correction of the hard- and soft-tissue facial asymmetry with face lift procedure using a resorbable fixation device (Endotine Ribbon; Coapt Systems, Palo Alto, CA) during bimaxillary orthognathic surgery in cases with severe facial asymmetry. The samples consisted of 8 patients (mean age, 23.3 [SD, 4.4] years; 8 skeletal class III and 2 class II malocclusion) who received bimaxillary orthognathic surgery and a face lift procedure using a resorbable fixation device. Preoperative cephalometric evaluation of the maxillary occlusal plane cant and chin point deviation and data on surgical movement, site, time, and difficulty of face lift procedure were collected at 1 week before operation and during operation procedure. The amounts of lip cant between preoperation and postoperation were compared. Pain, stability of fixation, adverse effects, relapse, and patients` and surgeon`s satisfaction were evaluated at 6 months after operation. Initial and final amounts of the lip cant were 4.15 (SD, 0.53) and 0.80 (SD, 0.48) mm (correction rate, 76.8%). The face lift procedure took 28.4 (SD, 3.3) minutes without difficulty. There were no severe complications such as hematoma, facial nerve injury, and postoperative scar. By the patients` and surgeon`s view, all had satisfactory jowl elevation, lip canting correction, and achievement of the soft-tissue symmetry without evidence of recurrent asymmetry or loss of fixation. If the face lift procedure using a resorbable fixation device is done with proper vector control during orthognathic surgery, the hard-and soft-tissue facial asymmetry can be corrected simultaneously with satisfactory outcomes.
ISSN
1049-2275
Language
English
URI
http://hdl.handle.net/10371/80385
DOI
https://doi.org/10.1097/SCS.0b013e3181cf6119
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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