Mandibular symphyseal contouring in mild mandibular prognathism

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery

Background:

• Mild mandibular prognathism presents aesthetic challenges, particularly in Asian populations.
• Traditional en bloc mandibular ramus osteotomy may not address specific chin protrusion concerns.

Observation:

• Kölle's mandibular segmental osteotomy involves premolar region setback and chin contouring.
• This technique preserves the mental area, addressing aesthetic preferences for a less prominent chin.

Findings:

• In 18 Asian patients with mild mandibular prognathism, Kölle's procedure yielded satisfactory aesthetic outcomes.
• The technique effectively reshapes the mandibular symphysis for improved facial harmony.

Implications:

• Mandibular segmental osteotomy offers a viable alternative for correcting mild mandibular prognathism with aesthetic considerations.
• This approach may enhance patient satisfaction by achieving desired chin aesthetics.