Three‐dimensional soft tissue changes in orthodontic extraction and non‐extraction patients: a prospective study

Background: Facial appearance is an important factor, affects social and psychological well-being. The ideal positioning of jaws and soft tissues is crucial during orthognathic surgery for a better outcome, but the response of facial soft tissues does not always reflect the exact movements of the underlying jaws in 1:1 ratio. So, soft tissue changes following orthognathic surgery require utmost attention during surgical correction to make successful treatment. Aims and Objectives: Evaluation of perioral soft tissue changes after orthognathic surgical procedures. The objectives of the study were to assess and compare pre and post-operative perioral soft tissue changes of lip width, nasolabial and mentolabial angle using Three Dimensional Computed Tomography scan (3DCT). Patient and Methods: The study involved ten patients for evaluation requiring orthognathic surgical procedures (maxillary or mandibular anteroposterior excess or deficiency, transverse deformities, vertical maxillary excess and facial asymmetry) presented to the department of oral and maxillofacial surgery during 2014-2016. Pre and post-operative 3DCT scan were taken after 12 months using iCT 256 slice whole body CT scanner and evaluated for changes using Dicom PMS D view. Results: Significant changes were observed in nasolabial angle after maxillary advancement (1.81°) and maxillary setback procedure (2.73°). The mentolabial angle was significantly increased with mandibular setback procedures (3.27°). Mandibular advancement procedures showed both increase (3.6°) and decrease (7.6°) in mentolabial angle. Conclusion: 3DCT showed a significant difference in perioral soft tissue changes in nasolabial and mentolabial angle but no significant change was observed in lip width. 3DCT is a reliable tool for 3D assessment. The conventional thought of changes in Nasolabial angle after surgery is changing due to the underlying factors which should be considered for prediction.

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Three-Dimensional Analysis Techniques—Part 1: Three-Dimensional Soft-Tissue Analysis of 24 Adult Cleft Palate Patients following Le Fort I Maxillary Advancement: A Preliminary Report

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1997_034_0036_tdatpt_2.3.co_2 ◽

1997 ◽

Vol 34 (1) ◽

pp. 36-45 ◽

Cited By ~ 9

Author(s):

Andrew M. Mccance ◽

James P. Moss ◽

W. Rick Fright ◽

Alf D. Linney ◽

David R. James

Keyword(s):

Soft Tissue ◽

Laser Scanning ◽

Three Dimensional ◽

Tissue Analysis ◽

Facial Soft Tissue ◽

Le Fort ◽

Analysis Techniques ◽

Tissue Changes ◽

Soft Tissue Changes ◽

Le Fort I

The three-dimensional, facial soft-tissue changes of 24 patients with various cleft types following transpalatal Le Fort I osteotomy were measured using laser scanning techniques, radial measurements, and a color millimetric scale. There was a varying degree of midface retrusion in the different cleft groups, and a very similar pattern of retrusion over the nasal complex. Each group of patients showed a varying degree of relapse postsurgically, but there was a failure in all the cleft groups to correct the lack of nasal projection.

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