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Hard and soft tissue changes and long-term stability after vertical height reduction genioplasty using biodegradable fixation

Authors
 J.H. Park  ;  H.-D. Jung  ;  J.-Y. Cha  ;  Y.-S. Jung 
Citation
 International Journal of Oral and Maxillofacial Surgery, Vol.48(8) : 1051-1056, 2019 
Journal Title
 International Journal of Oral and Maxillofacial Surgery 
ISSN
 0901-5027 
Issue Date
2019
Keywords
biodegradable fixation ; vertical height reduction genioplasty ; vertical macrogenia
Abstract
The aim of this work was to analyse the stability of vertical height reduction genioplasty using biodegradable material, as well as to determine vertical changes of hard and soft tissues during this procedure. Forty patients underwent vertical height reduction genioplasty using two types of biodegradable fixation (Biosorb FX® or OSTEOTRANS-MX®), combined with mandibular setback surgery. We assessed lateral cephalographs over time (pre-operation; immediately post-operation; 3 months, 6 months and 12 months post-operation). We found a mean vertical difference of 0.22mm (standard deviation (SD)=0.49mm) at the menton point immediately post-operation, compared with 12 months post-operation. And there was no statistical significance(P>0.05). The chin hard tissue remained stable from the immediate post-operation period to 1 year post-operation, and the chin soft tissue remained stable from 3 months to 1 year post-operation. The regression equation describing the replacement of hard tissue with soft tissue change, between pre-operation and 12 months post-operation is y=0.590x+0.885 (R2=0.300, P<0.001). We confirm that the use of biodegradable fixation is a stable method, in terms of skeletal tissues, and a relatively stable method, in terms of soft tissues. In vertical height reduction genioplasty, soft tissue does not reflect 100% of the vertical tissue reduction in hard tissues. This data may influence establishment of surgical treatment objectives.
Full Text
https://www.sciencedirect.com/science/article/pii/S0901502719300311
DOI
10.1016/j.ijom.2019.01.014
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jin Hoo(박진후) ORCID logo https://orcid.org/0000-0003-2337-9554
Jung, Young Soo(정영수) ORCID logo https://orcid.org/0000-0001-5831-6508
Jung, Hwi Dong(정휘동) ORCID logo https://orcid.org/0000-0003-1025-8323
Cha, Jung Yul(차정열)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171101
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