Postoperative Changes of the Frontal Facial Soft Tissues in Patients with Mandibular Prognathism and Mandibular Deviation
This study was designed to evaluate the morphological changes of the frontal facial soft tissue in prognathic patients with mandibular deviation who had undergone One-jaw or Two-jaw surgery. The subjects were divided into two groups: Group 1 (Two-jaw group) consisted of 18 skeletal Class M female pa...
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| Published in | The Japanese Journal of Jaw Deformities Vol. 17; no. 4; pp. 238 - 246 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
THE JAPANESE SOCIETY FOR JAW DEFORMITIES
15.12.2007
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0916-7048 1884-5045 |
| DOI | 10.5927/jjjd1991.17.238 |
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| Abstract | This study was designed to evaluate the morphological changes of the frontal facial soft tissue in prognathic patients with mandibular deviation who had undergone One-jaw or Two-jaw surgery. The subjects were divided into two groups: Group 1 (Two-jaw group) consisted of 18 skeletal Class M female patients who had undergone Le Fort I osteotomy and Sagittal Splitting Ramus Osteotomy (SSRO). Group 2 (One-jaw group) comprised 18 skeletal Class HI female patients treated by only SSRO. A pair of pre-and post-operative standardized frontal facial photos were used for soft tissue analysis. The angular and linear measurements of the nose, lip, and lower facial lines were studied on the standardized frontal facial photos. The results obtained were as follows: 1. The quantity of postoperative Me deviation significantly decreased in the Two-jaw surgery group. 2. No change in the nose width was observed in the One-jaw surgery group, while the nose width was significantly increased after surgery in the Two-jaw surgery group. Asymmetric nose width before surgery changed to the symmetric one after surgery in the Two-jaw surgery group. 3. Lip width was significantly increased in the Twojaw group after surgery. The difference in the lip width between deviated and non-deviation sides was decreased in both groups after surgery. Asymmetric lip width before surgery improved in both groups after surgery. 4. The lip line and the lower facial line improved to a more suitable inclination after surgery in both groups. |
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| AbstractList | This study was designed to evaluate the morphological changes of the frontal facial soft tissue in prognathic patients with mandibular deviation who had undergone One-jaw or Two-jaw surgery. The subjects were divided into two groups: Group 1 (Two-jaw group) consisted of 18 skeletal Class M female patients who had undergone Le Fort I osteotomy and Sagittal Splitting Ramus Osteotomy (SSRO). Group 2 (One-jaw group) comprised 18 skeletal Class HI female patients treated by only SSRO. A pair of pre-and post-operative standardized frontal facial photos were used for soft tissue analysis. The angular and linear measurements of the nose, lip, and lower facial lines were studied on the standardized frontal facial photos. The results obtained were as follows: 1. The quantity of postoperative Me deviation significantly decreased in the Two-jaw surgery group. 2. No change in the nose width was observed in the One-jaw surgery group, while the nose width was significantly increased after surgery in the Two-jaw surgery group. Asymmetric nose width before surgery changed to the symmetric one after surgery in the Two-jaw surgery group. 3. Lip width was significantly increased in the Twojaw group after surgery. The difference in the lip width between deviated and non-deviation sides was decreased in both groups after surgery. Asymmetric lip width before surgery improved in both groups after surgery. 4. The lip line and the lower facial line improved to a more suitable inclination after surgery in both groups. |
| Author | MORITA, SHUICHI SAITO, ISAO TAKEMURA, FUMI YAMAKI, MASAKI SAITO, CHIKARA TAKAGI, RITSUO |
| Author_xml | – sequence: 1 fullname: MORITA, SHUICHI organization: Division of Orthodontics, Niigata University Graduate School of Medical and Dental Siences – sequence: 1 fullname: YAMAKI, MASAKI organization: Division of Orthodontics, Niigata University Graduate School of Medical and Dental Siences – sequence: 1 fullname: SAITO, ISAO organization: Division of Orthodontics, Niigata University Graduate School of Medical and Dental Siences – sequence: 1 fullname: TAKEMURA, FUMI organization: Division of Orthodontics, Niigata University Graduate School of Medical and Dental Siences – sequence: 1 fullname: SAITO, CHIKARA organization: Division of Reconstructive Surgery for Oral and Maxillofacial Region, Niigata University Graduate School of Medical and Dental Siences – sequence: 1 fullname: TAKAGI, RITSUO organization: Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Siences |
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| References | 2) 長谷川暁子, 他: 骨格性下顎前突症患者の上下顎移動術に伴う軟組織側貌の変化, 日顎変形誌, 13: 83-91, 2003. 12) 近藤悦子: 日本人成人男女についての頭部X線規格正貌写真による検討, 日矯歯誌, 31: 117-136, 1972. 32) Techalertpaisarn, P., et al.: Three-dimensional computer-graphic demonstration of facial soft tissue changes in mandibular prognathic patients after mandibular sagittal ramus osteotomy, Int J Adult Orthod Orthognath Surg, 13: 217-225, 1998. 34) 末石研二, 他: 下顎前突を伴う顔面非対称症例について-その1軟組織と硬組織の偏位の比較, 顎変形誌, 5: 118-120, 1986. 1) 古田治彦: 下顎前突症患者に対する下顎枝矢状分割術施行時の軟組織変化に関する臨床的研究-特に術後軟組織側貌予測に関して-, 九州歯会誌, 50: 154-172, 1996. 18) 塩入重彰: モアレトポグラフィー法による正常人顔面の対称性に関する検討, 口腔病会誌, 45: 147-169, 1978. 22) 野口信宏, 他: 顔面非対称の3次元的分析 (第一報)-顔面正中面の自動設定法の開発-, 日口外誌, 42: 599-601, 1996. 26) 北村敦, 他: 下顎枝矢状分割術を施行した下顎前突症患者の正貌軟組織変化, 日顎変形誌, 13: 74-82, 2003. 29) 志田山了一, 他: 上顎骨切り術後の外鼻の形態変化と鼻形成について, 日形会誌, 34: 929-939, 1991. 7) 喜地慶雅, 他: 特に軟組織形態を考慮した顔貌非対称症例に対する外科的矯正治療, 日顎変形誌, 7: 79-87, 1997. 25) 久保誼修, 他: 顔面正貌写真を用いた顔面対称性の評価, 日顎変形誌, 6: 13-15, 1987. 24) 腰原好: 顔面ならびに顎における形態と機能との相関性に関する研究, 歯科学報 68: 329-366, 1968. 10) 布田花子, 他: 顔貌非対称症例における正貌軟組織変化, 日顎変形誌, 14: 134, 2004. 4) Shiu-Shiung Lin., et al.: Soft and hard tissue changes in Class 1 patients treated by maxillary surgrey, Eur J Orthod, 20: 25-33, 1998. 11) 平瀬直子, 他: 下顎前突症患者の正貌顔面の対称性評価, 日顎変形誌, 15: 1-7, 2005. 13) Stoner, M. M.: A Photometric analysis of the facial plofile, Am J Orthod, 41: 453-469, 1955. 27) 久木田章, 他: 顔面正貌非対称症例に対する片側下顎枝矢状分割術と片側骨体部切除術併用の手術法と両側下顎枝矢状分割術との非対称改善度の比較, 口科誌, 40: 109-116, 1991. 31) 添野麻美, 他: 上顎前方移動術後に認められる外鼻の形態変化について, 岩医大歯誌, 26: 83-89, 2001. 33) 西方聡他: 下顎 (顔面) 非対称症例に対するチームアプローチによる治療I, 顎変形誌, 5: 121-123, 1986. 6) 岡村正彦, 他: 骨格性下顎前突症に対する両側下顎枝矢状分割術後の正貌形態変化の検討, 日顎変形誌, 8: 151-156, 1998. 21) 北條健三: モアレ縞による顔面の対称性に関する研究, 歯科学報, 81: 1203-1237, 1981. 20) 香月武: 顎顔面形態の数量的分析, 口科誌, 34: 775-803, 1985. 30) 宮沢正純, 他: 上顎骨切り術における鼻中隔手術法の応用-外鼻形態変化の予防法について-, 日形会誌, 35: 651-661, 1992. 8) 西山眞名民, 他: 骨格性下顎前突症患者の顔面非対称に関する検討-主観的評価と客観的評価との関連性-. 日顎変形誌, 15: 8-20, 2005. 19) 渡辺一民: 顔の対称性に関する研究-いわゆる正中線の設定に関する検討-, 日大歯学, 53: 1037-1047, 1979. 28) 喜地直美, 他: 下顎骨の形態的左右差が軟組織輪郭に及ぼす影響, 日顎変形誌, 7: 95-101, 1997. 3) 布田花子, 他: Le Fort I型骨切り術に伴う鼻部の変化-上下顎移動術を施行した女性骨格性下顎前突症症例について-, 日顎変形誌, 12: 85-93, 2002. 5) Chou, J. I., et al.: A retrospective analysis of the stability and relapse of soft and hard tissue change after bilateral sagittal split osteotomy for mandibular setback of 64 Taiwaese patients, J Oral Maxillofac Sur. 63: 355-361. 2005. 9) 石畑清秀: 顔面非対称患者顔面の三次元形態分析, 口科誌, 53: 109-123, 2003. 16) 柴田恭典: 正面頭部X線規格写真の誤差について, 昭歯誌, 13: 168-180, 1993. 17) 小早川元性博: 下顎前突症手術患者の顔面非対称の評価について-数量的評価と感覚的評価の対応に関する実験的検討-, 日口外誌, 36: 112-126, 1990. 15) 福井忠雄, 他: 正面頭部X線規格写真における下顎骨輪郭線の新しい重ね合わせに関する研究, 日矯歯誌, 55: 364-371, 1996. 35) 加藤嘉之, 他: 顔面非対称症例の正貌頭部X線規格写真分析, 日顎変形誌, 4: 87-95, 1994. 23) 陳信光, 他: 骨格性下顎前突症に対する外科的矯正治療前後の正面顔貌変化-正面顔面規格写真の有用性に関して-, 昭歯誌, 26: 19-28, 2006. 14) Neger, M. A., et al.: A Quantitative method for the evaluation of the soft-tissue facial profile, Am J Orthod. 45: 738-751. 1959. |
| References_xml | – reference: 1) 古田治彦: 下顎前突症患者に対する下顎枝矢状分割術施行時の軟組織変化に関する臨床的研究-特に術後軟組織側貌予測に関して-, 九州歯会誌, 50: 154-172, 1996. – reference: 35) 加藤嘉之, 他: 顔面非対称症例の正貌頭部X線規格写真分析, 日顎変形誌, 4: 87-95, 1994. – reference: 34) 末石研二, 他: 下顎前突を伴う顔面非対称症例について-その1軟組織と硬組織の偏位の比較, 顎変形誌, 5: 118-120, 1986. – reference: 8) 西山眞名民, 他: 骨格性下顎前突症患者の顔面非対称に関する検討-主観的評価と客観的評価との関連性-. 日顎変形誌, 15: 8-20, 2005. – reference: 7) 喜地慶雅, 他: 特に軟組織形態を考慮した顔貌非対称症例に対する外科的矯正治療, 日顎変形誌, 7: 79-87, 1997. – reference: 23) 陳信光, 他: 骨格性下顎前突症に対する外科的矯正治療前後の正面顔貌変化-正面顔面規格写真の有用性に関して-, 昭歯誌, 26: 19-28, 2006. – reference: 18) 塩入重彰: モアレトポグラフィー法による正常人顔面の対称性に関する検討, 口腔病会誌, 45: 147-169, 1978. – reference: 29) 志田山了一, 他: 上顎骨切り術後の外鼻の形態変化と鼻形成について, 日形会誌, 34: 929-939, 1991. – reference: 32) Techalertpaisarn, P., et al.: Three-dimensional computer-graphic demonstration of facial soft tissue changes in mandibular prognathic patients after mandibular sagittal ramus osteotomy, Int J Adult Orthod Orthognath Surg, 13: 217-225, 1998. – reference: 19) 渡辺一民: 顔の対称性に関する研究-いわゆる正中線の設定に関する検討-, 日大歯学, 53: 1037-1047, 1979. – reference: 12) 近藤悦子: 日本人成人男女についての頭部X線規格正貌写真による検討, 日矯歯誌, 31: 117-136, 1972. – reference: 2) 長谷川暁子, 他: 骨格性下顎前突症患者の上下顎移動術に伴う軟組織側貌の変化, 日顎変形誌, 13: 83-91, 2003. – reference: 24) 腰原好: 顔面ならびに顎における形態と機能との相関性に関する研究, 歯科学報 68: 329-366, 1968. – reference: 16) 柴田恭典: 正面頭部X線規格写真の誤差について, 昭歯誌, 13: 168-180, 1993. – reference: 21) 北條健三: モアレ縞による顔面の対称性に関する研究, 歯科学報, 81: 1203-1237, 1981. – reference: 26) 北村敦, 他: 下顎枝矢状分割術を施行した下顎前突症患者の正貌軟組織変化, 日顎変形誌, 13: 74-82, 2003. – reference: 4) Shiu-Shiung Lin., et al.: Soft and hard tissue changes in Class 1 patients treated by maxillary surgrey, Eur J Orthod, 20: 25-33, 1998. – reference: 10) 布田花子, 他: 顔貌非対称症例における正貌軟組織変化, 日顎変形誌, 14: 134, 2004. – reference: 3) 布田花子, 他: Le Fort I型骨切り術に伴う鼻部の変化-上下顎移動術を施行した女性骨格性下顎前突症症例について-, 日顎変形誌, 12: 85-93, 2002. – reference: 27) 久木田章, 他: 顔面正貌非対称症例に対する片側下顎枝矢状分割術と片側骨体部切除術併用の手術法と両側下顎枝矢状分割術との非対称改善度の比較, 口科誌, 40: 109-116, 1991. – reference: 6) 岡村正彦, 他: 骨格性下顎前突症に対する両側下顎枝矢状分割術後の正貌形態変化の検討, 日顎変形誌, 8: 151-156, 1998. – reference: 5) Chou, J. I., et al.: A retrospective analysis of the stability and relapse of soft and hard tissue change after bilateral sagittal split osteotomy for mandibular setback of 64 Taiwaese patients, J Oral Maxillofac Sur. 63: 355-361. 2005. – reference: 25) 久保誼修, 他: 顔面正貌写真を用いた顔面対称性の評価, 日顎変形誌, 6: 13-15, 1987. – reference: 20) 香月武: 顎顔面形態の数量的分析, 口科誌, 34: 775-803, 1985. – reference: 22) 野口信宏, 他: 顔面非対称の3次元的分析 (第一報)-顔面正中面の自動設定法の開発-, 日口外誌, 42: 599-601, 1996. – reference: 31) 添野麻美, 他: 上顎前方移動術後に認められる外鼻の形態変化について, 岩医大歯誌, 26: 83-89, 2001. – reference: 14) Neger, M. A., et al.: A Quantitative method for the evaluation of the soft-tissue facial profile, Am J Orthod. 45: 738-751. 1959. – reference: 9) 石畑清秀: 顔面非対称患者顔面の三次元形態分析, 口科誌, 53: 109-123, 2003. – reference: 28) 喜地直美, 他: 下顎骨の形態的左右差が軟組織輪郭に及ぼす影響, 日顎変形誌, 7: 95-101, 1997. – reference: 15) 福井忠雄, 他: 正面頭部X線規格写真における下顎骨輪郭線の新しい重ね合わせに関する研究, 日矯歯誌, 55: 364-371, 1996. – reference: 17) 小早川元性博: 下顎前突症手術患者の顔面非対称の評価について-数量的評価と感覚的評価の対応に関する実験的検討-, 日口外誌, 36: 112-126, 1990. – reference: 30) 宮沢正純, 他: 上顎骨切り術における鼻中隔手術法の応用-外鼻形態変化の予防法について-, 日形会誌, 35: 651-661, 1992. – reference: 11) 平瀬直子, 他: 下顎前突症患者の正貌顔面の対称性評価, 日顎変形誌, 15: 1-7, 2005. – reference: 13) Stoner, M. M.: A Photometric analysis of the facial plofile, Am J Orthod, 41: 453-469, 1955. – reference: 33) 西方聡他: 下顎 (顔面) 非対称症例に対するチームアプローチによる治療I, 顎変形誌, 5: 121-123, 1986. |
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| Title | Postoperative Changes of the Frontal Facial Soft Tissues in Patients with Mandibular Prognathism and Mandibular Deviation |
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