Effects of modified step Le Fort I advancement surgery on nostril area and inferior nasal structures volume in class III patients: a retrospective clinical study

• Published in: Clinical oral investigations Vol. 27; no. 2; pp. 807 - 815
• Main Authors: Akbulut, Nihat, Akbulut, Sibel, Bayrak, Seval, Şen, Esengül, Altan, Ahmet, Kaymaz, Gizemnur, Çolak, Sefa
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2023; Springer Nature B.V
• Subjects: Dentistry; Humans; Male; Maxilla - surgery; Medicine; Nasopharynx; Nose; Original Article; Osteotomy; Osteotomy, Le Fort - methods; Patients; Retrospective Studies; Statistical analysis; Surgery; Nasal cavity; Orthognathic surgical procedures; LeFort osteotomy; Nasal concha; Nasal airway obstruction
• ISSN: 1436-3771; 1432-6981; 1436-3771
• DOI: 10.1007/s00784-023-04860-3

Objective The effect of the modified step Le Fort I osteotomy on the inferior nasal structures and the nostril area was evaluated. Materials and methods This study included 24 patients who had modified step Le Fort I osteotomy. Inferior nasal concha volume (INCV), meatus nasi inferior volume (MNIV), the sum of both structures volume (TV), and nostril area (NA) were evaluated in pre- (T0) and postoperative (T1) periods. Results For all patients, NA increased both on the right side ( p = 0.011) and left side ( p = 0.050) after surgery. The INCV and TV values were lower in T1 than those in T0; however, a statistically significant decrease of INCV and TV was found only in the right side of males ( p = 0.039 and p = 0.050, respectively). No significant difference was found in MNIV between T0 and T1 measurements ( p > 0.05). Conclusion Maxillary advancement with the modified step Le Fort I osteotomy technique increased the NA, which may have a positive effect on breathing function. On the other hand, although TV tended to decrease, MNIV did not change after surgery as the same decreasing tendency also existed in INCV. Clinical relevance Step Le Fort I advancement surgery technique usually affects nasal structures positively regarding the nasal airway.