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Skeletal stability following mandibular advancement with and without advancement genioplasty
C van der Linden1, W J van der Linden1, J P Reyneke1
1Department of Maxillofacial and Oral Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa; Centre for Orthognathic Surgery and Implantology, Sunninghill Hospital, Johannesburg, South Africa.
Abstract:
The correction of most cases of skeletal class II mandibular deficiency requires surgical advancement of the mandible for treatment of the malocclusion. Often genioplasty is included in the procedure to improve the soft tissue profile. Long-term skeletal stability is an important goal for the surgeon and orthodontist following bilateral sagittal split osteotomy (BSSO) and is influenced by the muscles attached to the mandible. Following the surgical advancement of the mandible, the suprahyoid muscle complex is stretched and even more so when the procedure is combined with surgical advancement of the chin. This retrospective comparative study determined the long-term skeletal stability of patients who had undergone surgical advancement of the mandible by means of BSSO with an advancement genioplasty, compared to those who had undergone mandibular advancement surgery (BSSO) without an advancement genioplasty. This study concluded that the postoperative hard tissue relapse following BSSO advancement, with or without genioplasty, was clinically insignificant.
