Adjunctive facial contouring surgery in combination with orthognathic surgery

ABSTRACT

oral and maxillofacial surgeons trying to improving total facial esthetics including orthognathic treatment and intrest of patients about facial esthetics. Commnon adjunctive facial contouring surgeries combined with orthognathic surgery are genioplasty, mandibulo angloplasty, malarplasty, mandibular body shaving, paranasal augmentation. Rhinoplasty. In this study, we studied what kind of adjunctive facial contouring surgery and which method among each contouring surgery in combination with orthognathic surgery (operated by 3 oral and maxillofacial surgeons from Jan.2000 to Dec.2002 in Seoul National University Dental Hospital) was used. Among 359 patients who received orthognathic surgeries adjunctive surgeries were performed in 130 patients(36.2%).In case of two jaw surgery(152 patients) adjunctive facial contouring surgeries(38.2% 59 patients) were more performed than in one jaw surgery(93patients (44.9%) 207patients). Because patient with two jaw surgery have more facial asymmetry compared with patient with one jaw surgery, Because of patient's preference for small and round facial contour, reduction plasty is main surgery in mandibulo angloplasty and malarplasty. In malarplasty, all operation was performed intraorally, in genioplasty, sliding osteotomy without alloplastic material was mostly performed. In angloplasty, angle ostectomy was mostly performed. In summary, the total facial esthetic surgeries including facial contouring surgery in combination with orthognathic surgery will be popular in dept. of oral and maxillofacial surgery as this study showed.