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Nasal considerations in orthognathic surgery.

S A Schendel1, A E Carlotti

  • 1Craniomaxillofacial Unit, Stanford University Medical Center, Calif.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|September 11, 1991
PubMed
Summary

Orthognathic surgery corrects dentofacial deformities, significantly altering facial appearance. This guide emphasizes integrating nasal and upper lip esthetics into treatment planning for optimal outcomes.

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Area of Science:

  • Dentofacial surgery
  • Orthodontics
  • Facial aesthetics

Background:

  • Orthognathic surgery significantly impacts facial appearance.
  • A comprehensive esthetic evaluation is crucial for orthodontists and maxillofacial surgeons.
  • The nose is a central element of facial form.

Purpose of the Study:

  • To outline functional and esthetic nasal evaluation in relation to the face.
  • To detail nasal and upper lip changes following maxillary procedures.
  • To discuss proper treatment planning and sequencing considering these changes.

Main Methods:

  • Review of functional and esthetic nasal evaluation techniques.
  • Analysis of changes in the nose and upper lip after maxillary orthognathic surgery.

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  • Discussion of integrated treatment planning strategies.

    • Main Results:

    • Proper nasal evaluation is key to successful orthognathic surgery outcomes.
    • Maxillary procedures can cause predictable changes in nasal and upper lip morphology.
    • Sequencing of surgical and orthodontic interventions impacts final facial esthetics.

    Conclusions:

    • Integrating nasal and upper lip esthetics into treatment planning improves functional and esthetic results.
    • A thorough understanding of facial changes guides effective orthognathic surgery.
    • Multidisciplinary collaboration between orthodontists and surgeons is essential for optimal patient care.