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Related Experiment Videos

Rhinoplastic implications of maxillary osteotomy.

P J Donald1

  • 1Department of Otolaryngology/Head and Neck Surgery, University of California, Davis.

The Journal of Otolaryngology
|October 1, 1988
PubMed
Summary
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Maxillary deformities.

Facial plastic surgery clinics of North America·2001

Maxillary osteotomies surgically correct facial structure, addressing protrusion, retrusion, or length discrepancies. These procedures can alter nasal and lip aesthetics, sometimes necessitating corrective rhinoplasty.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Orthognathic Surgery

Background:

  • Maxillary osteotomies address structural facial disharmonies, including protrusion, retrusion, and vertical length discrepancies.
  • These surgical procedures reposition the maxilla, influencing the position of the nose and overall facial aesthetics.
  • Associated deformities or aesthetic concerns may require secondary corrective procedures like rhinoplasty.

Purpose of the Study:

  • To review the impact of various maxillary osteotomy techniques on facial structure and aesthetics.
  • To highlight the relationship between maxillary repositioning and nasal/lip form.
  • To discuss the necessity of corrective rhinoplasty following orthognathic surgery.

Main Methods:

  • Review of surgical techniques including Le Fort I, pyramidal, and Le Fort III osteotomies.

Related Experiment Videos

  • Analysis of the effects of segmental osteotomies on vertical maxillary height.
  • Discussion of secondary surgical interventions for aesthetic correction.

    • Main Results:

    • Le Fort I osteotomies yield more significant changes compared to pyramidal or Le Fort III types, particularly affecting the nasal tip-dorsum relationship.
    • Segmental osteotomies result in predictable alterations to the lip-tip aesthetic.
    • Corrective rhinoplasty is often required to refine aesthetic outcomes post-maxillary advancement or reduction.

    Conclusions:

    • Maxillary osteotomies are effective in correcting skeletal discrepancies but can alter soft tissue contours.
    • The choice of osteotomy technique influences the degree and nature of aesthetic changes.
    • A comprehensive surgical plan may include rhinoplasty to achieve optimal facial harmony.