Change of lip-line cant after 1-jaw orthognathic surgery in patients with mandibular asymmetry.
BACKGROUND
The purpose of this study was to investigate the change of lip-line cant (LLC) after 1-jaw orthognathic surgery in mandibular asymmetry patients.


METHODS
Preoperative and postoperative data of 22 patients having 1-jaw orthognathic surgery, with menton deviation over 2 degrees before the surgery, were our subjects. LLC was measured in the preoperative and postoperative frontal photographs, and its change was correlated with various craniofacial measurements obtained from preoperative and postoperative frontal cephalograms and maxillofacial 3-dimensional computed tomography images.


RESULTS
Although these subjects had 2.4 degrees of LLC on average before surgery, LLC improved to 0.5 degrees after surgery, and the change (1.9 degrees ) was statistically significant. In the correlation analysis, preoperative LLC showed positive correlations with menton deviation and mandibular anterior occlusal plane cant. In the correlation analysis of LLC change, it had positive correlations with preoperative LLC and mandibular anterior occlusal plane cant and preoperative and postoperative change of menton deviation.


CONCLUSIONS
These results suggest that LLC is present with chin deviation, even without significant maxillary canting, and can be improved considerably by 1-jaw surgery alone.
Hwang
Hyeon-Shik
HS
Department of Orthodontics, 2nd Stage of Brain Korea 21, Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju, Korea.
Min
Yu-Sun
YS
Lee
Suk-Cheol
SC
Sun
Min-Kyu
MK
Lim
Hoi-Soon
HS
D002508:Cephalometry / Q000379:methods; D002680:Chin / Q000473:pathology; D003766:Dental Occlusion; D004424:Ear Canal / Q000473:pathology; D005123:Eye / Q000473:pathology; D005146:Facial Asymmetry / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D008046:Lip / Q000473:pathology*; D008297:Male; D008334:Mandible / Q000473:pathology / Q000601:surgery*; D008437:Maxilla / Q000473:pathology; D009295:Nasal Bone / Q000473:pathology; D009915:Orbit / Q000473:pathology; D010781:Photography / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D055815:Young Adult