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Lower Third Soft Tissue Changes After Orthognathic Surgery.

Alvaro Reategui1, Alexa Mier2, Sumun Khetpal3

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Triple jaw surgery significantly impacts soft tissues, improving lip appearance and aligning measurements with ideal norms. This three-dimensional analysis quantifies these crucial cosmetic and functional changes.

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Area of Science:

  • Craniofacial surgery
  • Orthognathic surgery
  • Plastic surgery

Background:

  • Triple jaw surgery combines LeFort osteotomy, bilateral sagittal split osteotomy, and genioplasty for enhanced outcomes.
  • Surgical effects extend beyond the skeleton to significant soft tissue alterations.
  • Understanding these soft tissue changes is crucial for predicting functional and esthetic results.

Purpose of the Study:

  • To characterize the three-dimensional (3D) soft tissue modifications following triple jaw surgery.
  • To quantify changes in orolabial anthropometric measurements post-procedure.

Main Methods:

  • Collected 3D images (VECTRA photosystem) and patient demographics from 48 participants.
  • Performed orolabial anthropometric measurements using Mirror software pre- and post-surgery.

Main Results:

  • Significant postoperative reduction in lower lip distance to S-line and H-line (P<0.001).
  • Female patients showed improvements in upper and lower vermilion fullness and lip height, aligning with ideal norms.
  • Male patients demonstrated ideal norms for lower lip height, lower vermilion fullness, and lip distances post-surgery.

Conclusions:

  • Triple jaw surgery yields substantial soft tissue changes.
  • The procedure effectively modifies orolabial measurements towards established ideal norms.