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Published on: May 23, 2020
Unusual complication after genioplasty.
Rafael Linard Avelar1, Carlos Diego Lopes Sá, Diego Felipe Silveira Esses
1From the *Oral and Maxillofacial Surgery Department, Pontifícia, Universidade Católica do Rio Grande do Sul, Porto Alegre; †Department Faculdade Católica Rainha do Sertão, Quixadá; and ‡Department Oral and Maxillofacial Surgery Service, Walter Cantídio University Hospital, Federal University of Ceará, Fortaleza, Brazil.
Genioplasty corrects chin deformities but can lead to segment displacement, especially with trauma. This study details two rare cases of post-genioplasty segment displacement following facial trauma.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Facial Aesthetics
Background:
- Facial aesthetics rely on balanced proportions, with the chin significantly impacting the lower facial third.
- Surgical correction of chin deformities involves alloplastic implants or genioplasty (mental basilar ostectomy).
- Genioplasty offers versatility for 3D chin deformities and fewer complications than implants, though risks like nerve damage and instability exist.
Observation:
- This study examines two unique cases of osteotomized segment displacement after genioplasty.
- The displacement occurred in conjunction with facial trauma during the postoperative orthognathic surgery phase.
- These specific complications following genioplasty and trauma have not been previously documented in medical literature.
Findings:
- The primary finding is the rare complication of osteotomized segment displacement after genioplasty.
- This displacement was exacerbated by subsequent facial trauma during the orthognathic surgery period.
- The presented cases highlight unusual postoperative outcomes not previously reported.
Implications:
- These findings underscore the importance of careful postoperative management and monitoring after genioplasty, particularly in patients with potential for trauma.
- Understanding these rare complications can inform surgical planning and patient selection for genioplasty.
- Further research may be warranted to explore the biomechanics and risk factors associated with segment displacement in complex cases.
