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Related Experiment Videos

Vertical ramisection for prognathism

T R Broadbent, R M Woolf

    Plastic and Reconstructive Surgery
    |November 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Surgical correction for Class III malocclusion and prognathism significantly enhances facial symmetry and self-image, with high patient satisfaction despite potential complications. Most patients value aesthetic improvements over bite correction.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Orthodontics
    • Plastic Surgery

    Background:

    • Class III malocclusion presents significant aesthetic and functional challenges.
    • Surgical correction of prognathism is a common treatment modality.

    Purpose of the Study:

    • To review patient outcomes and satisfaction after surgical correction of prognathism in Class III malocclusion.
    • To identify key surgical considerations for minimizing postoperative complications.

    Main Methods:

    • Retrospective review of 44 patients undergoing surgery for prognathism.
    • Analysis of patient-reported outcomes, including satisfaction, complications, and aesthetic vs. functional improvement.

    Main Results:

    • High patient satisfaction reported, with only one patient declining repeat surgery.

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  • Significant enhancement in facial symmetry observed.
  • Aesthetic and self-image improvements were prioritized by 66% of patients over bite improvement.
  • Postoperative lip numbness and weakness were noted complications, linked to surgical technique.

    • Conclusions:

    • Surgical correction of prognathism for Class III malocclusion yields high patient satisfaction, primarily driven by aesthetic gains.
    • Careful surgical technique, particularly regarding the vertical cut in the ramus and soft tissue traction, is crucial for minimizing lip-related complications.
    • The procedure offers substantial benefits to self-image and facial appearance.