title: Esthetic contour analysis of the submental cervical region: a study based on ideal subjects and surgical patients.
abstract: A cephalometric analysis of the submental-cervical region was carried out by examining and comparing 16 white adults who had ideal submental-cervical esthetics with 16 adult orthognathic surgery patients who were treated by submental lipectomy or liposuction and various orthognathic surgical procedures. A normative data base of the submental-cervical region was derived from the ideal subject group. The submental-cervical morphology of the preoperative patients differed significantly from the ideal subjects. The submental-cervical angle (Sm-Ce) and the submental soft tissue thickness at C point (IBM-Sm) presented the greatest disparity between the ideal subjects (118.0 degrees, 28.0 mm) and the preoperative patients (158.3 degrees, 42.1 mm, each P < .001). After surgery, Sm-Ce and IBM-Sm decreased to 132.8 degrees (P < .001) and 28.7 mm (P < .001), respectively. By the end of 6 months postoperative, the mean values of Sm-Ce and IBM-Sm were 131.1 degrees and 28.6 mm. The submental soft tissue thickness of the patients 6 months after surgery was not statistically different from the ideal subjects (each P > .05). Orthognathic surgical procedures with concomitant submental lipectomy or liposuction had a significant effect on the contour of the submental and cervical soft tissues.
authors.affiliation: Department of Surgery, University of Texas, Southwestern Medical Center, Dallas.
authors.forename: A
authors.initials: A
authors.lastname: Moreno
authors.forename: W H
authors.initials: WH
authors.lastname: Bell
authors.forename: Z H
authors.initials: ZH
authors.lastname: You
mesh_terms: D000293:Adolescent; D000328:Adult; D002508:Cephalometry; D002680:Chin / Q000033:anatomy & histology* / Q000473:pathology; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006928:Hyoid Bone / Q000473:pathology; D015187:Lipectomy; D008297:Male; D008310:Malocclusion / Q000473:pathology / Q000601:surgery; D008334:Mandible / Q000473:pathology / Q000601:surgery; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009333:Neck / Q000033:anatomy & histology* / Q000473:pathology; D010027:Osteotomy / Q000379:methods