Journal of Peking University(Health Sciences) ›› 2015, Vol. 47 ›› Issue (1): 104-108.

• Articles • Previous Articles     Next Articles

Comparison of three surgical techniques for controlling nasal width after Le Fort Ⅰ osteotomy

WANG Zong-qi, WANG Xiao-xia△,LI Zi-li, YI Biao, LIANG Cheng, WANG Xin   

  1. (Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China)
  • Online:2015-02-18 Published:2015-02-18

Abstract: Objective: To identify nasal width changes occurring after Le FortⅠosteotomy and to compare prospectively the effect of three surgical techniques for controlling postoperative nasal width.  Methods: In the study, 79 patients (22 male and 57 female, mean age 23.2±3.4 years), who received Le Fort Ⅰ osteotomy at Peking University Hospital of Stomatology from 2011 to 2014, were randomly divided into three groups. Group 1 was treated with traditional intraoral alar base cinch suture (ABCS); Group 2 with extraoral ABCS, and Group 3 with traditional ABCS plus an extra intraoral suture at points G.lat. All the patients had taken 3D photos using 3dMD camera before operation, and 3, and 6 months after operation. The nasal widths, which were indicated as distances between Sbal-Sbal, G.lat-G.lat and Al-Al, were measured by two examiners in the 3D photos three times with a time-interval of one week. SPSS 13.0 was used to do the statistic analysis. Results: At the end of the postoperative 6 months, the nasal widths lessened as compared with the postoperative 3 months. No significant differences were found between the three groups 6 months after the operation. The degree of the postoperative nasal width widening had positive correlation with that of the intraoperative nasal width widening, and had negative correlation with the initial nasal width and the amount of post-suture narrowing. Conclusion: There is no difference between three suturing techniques for controlling nasal width widening after Le Fort Ⅰ osteotomy. The postoperative nasal width-widening can’t be totally avoided, and the alteration might last at least 6 months after the operation. For patients with narrow nasal width and need to move maxilla forward, more overcorrection of ABCS is needed to control the postoperative nasal base widening.

Key words: Maxilla, Osteotomy, Le Fort, Nasal bone, Photogrammetry, Suture techniques

[1] Chen CHEN,Yuhong LIANG. Root canal therapy of maxillary molars with atypical canals: A report of three cases [J]. Journal of Peking University (Health Sciences), 2024, 56(1): 190-195.
[2] Sui LI,Wenjie MA,Shimin WANG,Qian DING,Yao SUN,Lei ZHANG. Trueness of different digital design methods for incisal guidance of maxillary anterior implant-supported single crowns [J]. Journal of Peking University (Health Sciences), 2024, 56(1): 81-87.
[3] Ying HUANG,Zhi-yuan WU,Xing-hong ZHOU,Zhi-gang CAI,Jie ZHANG. Category of facial symmetry perception after maxillary reconstruction using anterolateral thigh flap [J]. Journal of Peking University (Health Sciences), 2023, 55(4): 708-715.
[4] LIU Wei-tao,WANG Yi-ran,WANG Xue-dong,ZHOU Yan-heng. A cone-beam computed tomography evaluation of three-dimensional changes of circummaxillary sutures following maxillary protraction with alternate rapid palatal expansions and constrictions [J]. Journal of Peking University (Health Sciences), 2022, 54(2): 346-355.
[5] JIANG You-sheng,FENG Lin,GAO Xue-jun. Influence of base materials on stress distribution in endodontically treated maxillary premolars restored with endocrowns [J]. Journal of Peking University (Health Sciences), 2021, 53(4): 764-769.
[6] MENG Yuan,ZHANG Li-qi,ZHAO Ya-ning,LIU Deng-gao,ZHANG Zu-yan,GAO Yan. Three-dimentional radiographic features of 67 maxillary radicular cysts [J]. Journal of Peking University (Health Sciences), 2021, 53(2): 396-401.
[7] Ke-yi HAO,Jia LUO,Ping DI,Hou-zuo GUO,Hui-dan SHEN,Yan-ping LIU,Yu ZHANG,Ye LIN. Validation of the digital integration technology for evaluating the nasolabial morphology variation after the cross-arch fixed restoration of maxillary implant-supported prostheses [J]. Journal of Peking University (Health Sciences), 2020, 52(5): 924-930.
[8] Yi-fan KANG,Xiao-feng SHAN,Lei ZHANG,Zhi-gang CAI. Postoperative position change of fibular bone after reconstruction of maxillary defect using free fibular flap [J]. Journal of Peking University (Health Sciences), 2020, 52(5): 938-942.
[9] Peng WANG,Da-jun LI,Jian-zhang LIU. Analysis of the relationship among maxillary anterior teeth width, anterior arch perimeter and anterior segment depth [J]. Journal of Peking University(Health Sciences), 2020, 52(1): 124-128.
[10] Xiu-jing WANG,Yi-mei ZHANG,Yan-heng ZHOU. Orthodontic-orthognathic treatment stability in skeletal class Ⅲ malocclusion patients [J]. Journal of Peking University(Health Sciences), 2019, 51(1): 86-92.
[11] Ning XIAO,Yu-chun SUN,Yi-jiao ZHAO,Yong WANG. A method to evaluate the trueness of reconstructed dental models made with photo-curing 3D printing technologies [J]. Journal of Peking University(Health Sciences), 2019, 51(1): 120-130.
[12] WANG Yi-ran, ZHOU Yan-heng, WANG Xue-dong, WEI Song, LIU Wei-tao. Evaluation of maxillary three-dimensional changes in maxillary protraction with alternating rapid palatal expansion and constriction based on the cone-beam computed tomography [J]. Journal of Peking University(Health Sciences), 2018, 50(4): 685-693.
[13] MENG Pei-qi, GUO Yu-xing. Bilateral maxillary bisphosphonate-related osteonecrosis of the jaw: a case report [J]. Journal of Peking University(Health Sciences), 2017, 49(6): 1098-1101.
[14] SUN Qian, ZHANG Wen-bo, GAO Min1 YU Sen, MAO Chi, GUO Chuan-bin, YU Guang-yan, PENG Xin. Clinical analysis of cervical lymph node metastasis of cN0 maxillary malignant tumor [J]. Journal of Peking University(Health Sciences), 2017, 49(6): 1050-1054.
[15] CHEN Quan, ZHANG Xiao, ZHANG Zhi-yong, GAO Wei, LIU Wen-shu, MENG Tian, CHEN Yu-huan, WANG Hui-li. Detection and management of the vascular paths in the lateral sinus wall using cone beam computed tomography [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 540-546.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!