Effect of Le Fort I Maxillary Repositioning on Three-Dimensional Nasal Tip Rotation: A Comparative Study with Implication for the Asian Nose

Abstract

evelopmental dentofacial deformity, characterized by an abnormal skeletal relationship between the maxilla and mandible, affects facial appearance, oral function, and psychological well-being of many patients. [1][2][3][4] Orthognathic surgery is considered the main therapeutic approach for these deformities because it achieves a balanced functional (occlusal and psychosocial) and aesthetic (harmonious facial appearance) result. [5][6][7] However, the orthognathic surgery can also result in nasal morphologic changes, which

The Effect of Absorbable and Non-Absorbable Sutures on Nasal Width Following Cinch Sutures in Orthognathic Surgery

“…Nasal alar and base widening after maxillary movement has been consistently found, especially when moving superiorly and anteriorly (impaction/advancement) [24][25][26][27][28]. Horizontally, compared to maxillary setback, maxillary advancement causes significant post-operative nasal alar and base widening [27,28]. In class III malocclusion correction, MMC clockwise rotation is also one of the most effective and popular methods to achieve a better esthetic profile at our center.…”

“…Instead of multi-segmented Le Fort I osteotomy, the transfer of single-pieced Le Fort I osteotomy would adequately represent the maxillary movement relating to perioperative nasal change. Nasal alar and base widening after maxillary movement has been consistently found, especially when moving superiorly and anteriorly (impaction/advancement) [24][25][26][27][28]. Horizontally, compared to maxillary setback, maxillary advancement causes significant post-operative nasal alar and base widening [27,28].…”

“…Their study had the same population as our study and was performed in our center. A narrow alar width has become more popular in East Asia in recent years and has become a post-operative concern of OGS patients [27,28].…”