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One-stage correction of complex facial disproportion
P A Chambers1, C R Yavuzer, I T Jackson
1Institute for Craniofacial and Reconstructive Surgery, Providence Hospital, Southfield, MI 48075, USA.
The Journal of Craniofacial Surgery
|October 26, 1999
Summary
Concomitant orthognathic surgery and rhinoplasty can correct facial disharmony. This one-stage approach offers good results with reduced morbidity, suggesting it
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Orthodontics
Background:
- Facial disharmony often involves both nasal and jaw deformities.
- Corrective treatment typically requires both rhinoplasty and orthognathic surgery.
- Concomitant procedures are not routine due to prediction difficulties and potential morbidity.
Purpose of the Study:
- To evaluate the safety and efficacy of combined orthognathic surgery and rhinoplasty.
- To assess the outcomes of a one-stage surgical approach for facial disharmony.
Main Methods:
- A 10-year retrospective study of 100 patients undergoing combined orthognathic surgery and rhinoplasty.
- Procedures performed by a multidisciplinary team (plastic surgeon, oral and maxillofacial surgeon, orthodontist).
- Varied jaw surgery based on deformity: mandibular only, maxillary only, or combined procedures.
Main Results:
- No orthognathic relapse or major complications observed.
- Minor complications included secondary nasal tip surgery (4 patients) and nerve damage (2 patients).
- Good cosmetic and functional results were achieved in the one-stage approach.
Conclusions:
- Combined orthognathic surgery and rhinoplasty can be performed safely and effectively.
- A multidisciplinary team approach facilitates dependable results with reduced overall morbidity.
- The one-stage approach offers benefits in terms of reduced surgical, anesthetic, and financial burden.