Effects of Vertical Movement of the Anterior Nasal Spine on the Maxillary Stability After LeFort I Osteotomy for Pitch Correction

Autor: Takako Kawasaki, Noriko Nakao, Seigo Ohba, Noriaki Yoshida, Kazuo Sano, Hitoshi Yoshimura, Tokutaro Minamizato, Izumi Asahina, Yuya Nakatani
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: The Journal of Craniofacial Surgery. 26(6):e481-e485
ISSN: 1049-2275
Popis: Few reports have so far evaluated the maxillary stability after LeFort I osteotomy (L-1) for pitch correction. In the current study, the authors assessed the SN-PP (palatal plane) to evaluate the skeletal stability after osteotomy with clockwise or counter-clockwise rotation and investigated the effects of anterior nasal spine (ANS) and posterior nasal spine (PNS) movement on the stability of the SN-PP. The SN-PP and the positions of ANS, PNS, and point A were measured on lateral cephalograms before surgery (T1), immediately after surgery (T2), and more than 1 year after surgery (T3). All measured angle and points were stable in 4 cases of counterclockwise rotation. In the 16 cases of clockwise rotation, T3-T2 of SN-PP, ANS, and point A was ?2.058 ?2.56 mm, and ?1.64 mm, when the SN-PP increased more than 48 after osteotomy. When the ANS moved downward more than 3 mm, the ANS and point A relapsed significantly by 2.75 and 2.31 mm, while the SN-PP relapsed 1.618 more than 1 year after surgery. When the SN-PP increased by more than 48 or the ANS moved downward by more than 3 mm, the authors suggest shifting the PNS upward instead of moving the ANS downward.
The Journal of Craniofacial Surgery, 26(6), pp.e481-e485; 2015
Databáze: OpenAIRE