| Autor: |
Olate, S., Sigua-Rodriguez, E., Garcia Guevara, H., Alister Herdener, J., Huentequeo, C. |
| Předmět: |
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| Zdroj: |
International Journal of Oral & Maxillofacial Surgery; Feb2023:Supplement 1, Vol. 52, p5-5, 1p |
| Abstrakt: |
Orthognathic surgery and rhinoplasty show a high success rates. The aim of this research is to analyze variables used in diagnosis and treatment for simultaneous orthognathic surgery and rhinoplasty. Male and female subjects between 18 and 45 years old were included. Diagnosis related to nasal morphology (nasal tip bifid, rotate, square and others as well as the alae morphology and columella), facial deformity (sagittal and vertical deformity), type of surgery (rhinoplasty techniques and orthognathic techniques) and complications were included. The minimum follow-up of was 12 months; Chi-Square and t test were used, considering a value of p<0.05 for statistical significance. Class III facial deformity was observed in 40% of subjects and class II facial deformity was present in 43%. For the nasal deformities, the tip and nasal bridge were most prevalent; primary nasal deformity was observed in 83% of subjects and was significant more than secondary nasal deformity (p=0.042). Bimaxillary surgery was performed in 31 cases (88%). In 10 cases was realized a change of the original plan for rhinoplasty due to the previous maxillary surgery, with no statistical differences. Revision rhinoplasty was realized in 5 cases (14%) and was not related to surgical variables; revision for orthognathic surgery was not necessary in this series. Rhinoplasty and orthognathic surgery simultaneously show low complications and predictable results. However, the revision rhinoplasty was necessary in 14% and could be related to learning curve or the intraoperative changes. A large study could be necessary to confirm our results. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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