Simultaneous maxillary and nasal reconstruction. An analysis of twenty-five cases

Area of Science:

• Plastic Surgery
• Orthognathic Surgery
• Facial Reconstruction

Background:

• Simultaneous rhinoplastic and orthognathic surgery offers combined aesthetic and functional improvements.
• Understanding skeletal and soft tissue changes is crucial for predictable outcomes.

Purpose of the Study:

• To measure nasal morphology changes during combined rhinoplastic and orthognathic reconstruction.
• To compare outcomes between facial degloving and nasal skeletonization approaches.
• To establish norms for skeletal and soft tissue movements.

Main Methods:

• Study included 25 patients undergoing combined procedures over four years.
• Utilized facial degloving or nasal skeletonization with oral incisions.
• Involved midfacial, maxillary, and mandibular procedures, with nasal reduction/augmentation.
• Assessment included radiographic, photographic, and clinical evaluations focusing on stability and airflow.

Main Results:

• Detailed analysis of skeletal and soft tissue movements in the nasal dorsum, tip, base, and labial areas.
• Comparison of outcomes based on surgical access methods.
• Integration of innovations in both rhinoplastic and orthognathic surgery.

Conclusions:

• The study provides insights into the relationship between skeletal and soft tissue changes in combined surgeries.
• Findings contribute to establishing norms for this abbreviated reconstructive approach.
• The research supports the integration of recent surgical innovations for improved anatomic and functional results.