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When osteotomies should be considered.

H M Rosen1

  • 1University of Pennsylvania School of Medicine, Philadelphia.

Clinics in Plastic Surgery
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

Facial osteotomy is a safe and effective surgical option for aesthetic patients requiring significant skeletal changes. Advances in techniques and materials have greatly reduced patient morbidity, making these procedures more accessible.

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Area of Science:

  • Plastic Surgery
  • Orthognathic Surgery
  • Aesthetic Surgery

Background:

  • Osteotomy is indicated in aesthetic surgery when skeletal changes are necessary.
  • Morbidity associated with osteotomy must be minimized for aesthetic surgical patients.
  • Common osteotomies include symphyseal and LeFort I procedures.

Purpose of the Study:

  • To review the indications and recent advancements in facial osteotomy for aesthetic surgery.
  • To highlight how reduced morbidity has increased the acceptability of osteotomy in aesthetic procedures.
  • To discuss the role of osteotomy in correcting facial skeletal imbalances.

Main Methods:

  • Review of current techniques and materials used in facial osteotomy.
  • Discussion of advancements in orthodontic preparation and surgical fixation.

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  • Evaluation of bone substitutes in reducing the need for autogenous grafts.

    • Main Results:

    • Facial osteotomies are justified for selected aesthetic patients, especially for vertical plane changes or significant skeletal imbalances.
    • Recent technical advances have significantly reduced the morbidity associated with facial osteotomies.
    • Improved presurgical orthodontic preparation and rigid fixation enhance patient acceptance and outcomes.

    Conclusions:

    • Facial osteotomy is a viable and increasingly safe option for aesthetic facial surgery.
    • Technological advancements have made osteotomy a more appealing and less morbid treatment choice.
    • Nonresorbable bone substitutes minimize the need for autogenous grafts, further reducing surgical morbidity.