Clockwise versus counterclockwise rotation in bimaxillary surgery: 3D analysis of facial soft tissue outcomes.

التفاصيل البيبلوغرافية
العنوان:	Clockwise versus counterclockwise rotation in bimaxillary surgery: 3D analysis of facial soft tissue outcomes.
المؤلفون:	Chen YH; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.; Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan.; Craniofacial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan., Baan F; Radboudumc 3D Lab, Radboud University Medical Center, Nijmegen, The Netherlands., Bruggink R; Radboudumc 3D Lab, Radboud University Medical Center, Nijmegen, The Netherlands., Ko EW; Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan.; Craniofacial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan., Bergé S; Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Center, Geert Grooteplein 10, 6525, Ga, Nijmegen, The Netherlands., Xi T; Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Center, Geert Grooteplein 10, 6525, Ga, Nijmegen, The Netherlands. Tong.Xi@radboudumc.nl.
المصدر:	Oral and maxillofacial surgery [Oral Maxillofac Surg] 2024 Jun; Vol. 28 (2), pp. 693-703. Date of Electronic Publication: 2023 Nov 20.
نوع المنشور:	Journal Article; Comparative Study
اللغة:	English
بيانات الدورية:	Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 101319632 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1865-1569 (Electronic) Linking ISSN: 18651550 NLM ISO Abbreviation: Oral Maxillofac Surg Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Berlin : Springer-Verlag
مواضيع طبية MeSH:	Imaging, Three-Dimensional* , Malocclusion, Angle Class III/surgery , Malocclusion, Angle Class III/diagnostic imaging , Orthognathic Surgical Procedures* , Cone-Beam Computed Tomography* , Face/anatomy & histology , Face/diagnostic imaging , Photogrammetry*, Humans ; Female ; Male ; Adult ; Rotation ; Young Adult ; Maxilla/surgery ; Treatment Outcome ; Adolescent
مستخلص:	Purpose: This study aimed to compare facial 3D soft tissue changes in subjects with Class III deformities who underwent bimaxillary clockwise (CW) and counterclockwise (CCW) rotational orthognathic surgery. Methods: Asian Class III subjects who completed bimaxillary surgical orthodontic treatments were enrolled and categorized into CW and CCW groups based on maxillary occlusal plane alterations. Preoperative and 9-month follow-up cone-beam computed tomography (CBCT) and 3D stereophotogrammetry were obtained, superimposed, and quantified for skeletal movements and soft tissue changes in six facial regions. Inverse probability of treatment weighting (IPTW) adjusted for potential confounding factors. Results: Thirty-seven subjects were included (CW group, n = 20; CCW group, n = 17). Postsurgical chin volume significantly reduced in the CW group compared to the CCW group (mean difference 6362 mm ³ ; p = 0.037), and intergonial width significantly decreased in the CW group (mean difference 6.2 mm; p = 0.005). The postoperative alar width increased by 1.04 mm and 1.22 mm in the CW and CCW groups, respectively (p = 0.70). However, these changes were not significantly correlated to the direction of MMC pitch. Conclusion: Clockwise rotation of the bimaxillary complex demonstrated a significant advantage in reducing chin volume and intergonial width compared to counterclockwise rotation, leading to a reduced frontal lower face width among Asian Class III subjects. (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة:	Keywords: Angle Class III; Cone-beam computed tomography; Malocclusion; Orthognathic surgery; Stereophotogrammetry; Three-dimensional imaging
تواريخ الأحداث:	Date Created: 20231119 Date Completed: 20240602 Latest Revision: 20240602
رمز التحديث:	20240603
DOI:	10.1007/s10006-023-01196-w
PMID:	37981624
قاعدة البيانات:	MEDLINE

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تدمد:	1865-1569
DOI:	10.1007/s10006-023-01196-w