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Rhinoplasty as an Adjunct to Orthognathic Surgery:: A Review.
Tian Ee Seah1, Velupillai Ilankovan2
1TES Clinic for Face and Jaw; Kadang Kerbau Women and Children's Hospital, National Dental Centre Singapore, Singapore General Hospital, Changi General Hospital.
Oral and Maxillofacial Surgery Clinics of North America
|November 6, 2022
Summary
Orthognathic surgery corrects jaw alignment, often impacting nasal aesthetics. Combining rhinoplasty with jaw surgery can address these changes, but requires careful planning for optimal outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Dentofacial Deformities
Background:
- Orthognathic surgery is a standard procedure for correcting dentofacial deformities.
- Maxillary advancement in orthognathic surgery can significantly alter nasal soft tissues.
- Nasal changes following orthognathic surgery are well-documented and can impact facial aesthetics.
Purpose of the Study:
- To evaluate the feasibility and outcomes of simultaneous rhinoplasty during orthognathic surgery.
- To address inherent nasal deformities and iatrogenic nasal changes from maxillary surgery.
- To explore challenges and solutions for concurrent nasal and jaw surgery.
Main Methods:
- Concurrent surgical planning for orthognathic and rhinoplasty procedures.
- Surgical execution involving both jaw repositioning and nasal contouring.
- Assessment of preoperative, perioperative, and postoperative management strategies.
Main Results:
- Simultaneous rhinoplasty can effectively correct pre-existing nasal issues and surgically induced nasal alterations.
- Meticulous planning and surgical experience are crucial for managing challenges in combined procedures.
- Staging rhinoplasty 6 months post-orthognathic surgery is a viable option for complex cases.
Conclusions:
- Combining orthognathic surgery with rhinoplasty offers a comprehensive approach to facial aesthetic improvement.
- Careful preoperative assessment and surgical expertise are essential for successful concurrent procedures.
- Rhinoplasty can be effectively staged after orthognathic surgery when necessary.
