Descripción del manejo cosmético de la pirámide nasal complementario a cirugía ortognática. Revisión narrativa / Description of the cosmetic management of the nasal pyramid complementary to orthognathic surgery. Narrative review
Int. j interdiscip. dent. (Print)
;
14(3): 246-252, dic. 2021. tab
Article
in Spanish
| LILACS
| ID: biblio-1385228
RESUMEN
RESUMEN Objetivo:
Describir los cambios de la pirámide nasal al realizar una osteotomía Le Fort I y el manejo cosmético complementario a la cirugía ortognática. Material ymétodo:
Se realizó una búsqueda electrónica en las bases de datos PubMed, EBSCO, Scopus, The Cochrane Library, y en el metabuscador Epistemonikos a través de las palabras clave "Le Fort 1", "Orthognathic Surgery", "Maxillary Surgery", "Nasolabial Changes", "Nasal Change", "Nasolabial Esthetics", "Soft Tissue", "Nasal Profile", "Nose" y "Cosmetic", relacionadas entre sí con los términos booleanos AND y OR.Resultados:
se seleccionaron 25 artículos 15 estudios observacionales, 5 revisiones narrativas, 3 ensayos clínicos y 2 notas técnicas.Conclusión:
se establece cierto patrón que permitiría predecir cambios que sufrirá la nariz aumento en la proyección nasal, disminución del largo columelar y ensanchamiento de la base alar son uno de ellos. En otros aspectos como el ángulo nasolabial o la posición final de la punta nasal no se ha logrado definir un patrón común. Para evitarlos se han descrito muchas técnicas. Sin embargo, falta mayor evidencia.ABSTRACT
ABSTRACT Objective:
To describe the changes of the nasal pyramid when performing a Le Fort I osteotomy and its cosmetic management complementary to the orthognathic surgery. Materials andMethods:
An electronic search was made in PubMed, EBSCO, Scopus, The Cochrane Library and Epistemonikos using the keywords "Le Fort 1", "orthognathic surgery", "maxillary surgery", "nasolabial changes", "nasal change", "nasolabial esthetics", "soft tissue", "nasal profile", "nose" and "cosmetic" related to each other with the Boolean terms AND and OR.Results:
25 articles were selected; 15 observational studies, 5 narrative reviews, 3 clinical trials and 2 technical notes.Conclusion:
Nasal changes tend to follow a certain pattern that allows to predict them when facing surgery increase of nose projection, decrease in columellar length and widening of the alar base, among others. As for other aspects such as the nasolabial angle or the final position of the nasal tip, it has not been possible to define a common pattern. To avoid them, several techniques have been described. However, more evidence is needed.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Surgery, Plastic
/
Nose
/
Osteotomy, Le Fort
/
Orthognathic Surgery
Type of study:
Observational study
Limits:
Humans
Language:
Spanish
Journal:
Int. j interdiscip. dent. (Print)
Journal subject:
Medicina Cl¡nica
/
Odontologia
/
Patologia
Year:
2021
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de los Andes/CL
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