title: [Improving the esthetic results and patient satisfaction in orthognatic surgery].
abstract: The objectives of dental and maxillary defect management have changed over the last decade. Occlusal improvement is required, but it is expected to come with a good esthetic result for patients, especially for adults, and mentioned or not preoperatively. Thus, the maxillofacial surgeon must include complementary data in his therapeutic scheme, beyond the one provided by the cephalometric analysis. This chapter was drafted in pluridisciplinary mode to this end. A psychological approach and post-operative satisfaction are crucial factors that were studied prospectively (MD Battini and Courtois) and are a part of this chapter. Esthetic labial standard are also described, based on the results of a retrospective study (MD Hardy, Laure and Goga). Doctor Belhaouari presents solutions to embellish lips with filling products, initially or later. Finally, the complementary surgical techniques that can be used during orthognatic surgery are listed: lipofilling, rhinoplasty, surgery of mandibular angles, apposition of piriform aperture.
authors.affiliation: Service maxillo-faciale, hôpital Trousseau, CHRU de Tours, avenue de la République, 37044 Tours cedex 9, France. Electronic address: goga@med.univ-tours.fr.
authors.forename: D
authors.initials: D
authors.lastname: Goga
authors.affiliation: Clinique psychiatrique, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Battini
authors.affiliation: Centre de chirurgie esthétique, 31000 Toulouse, France.
authors.forename: L
authors.initials: L
authors.lastname: Belhaouari
authors.affiliation: Clinique psychiatrique, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex 9, France.
authors.forename: R
authors.initials: R
authors.lastname: Courtois
authors.affiliation: Centre aquitain de chirurgie maxillo-faciale, 33000 Bordeaux, France.
authors.forename: C
authors.initials: C
authors.lastname: Hardy
authors.affiliation: Polyclinique Saint-Jean, 92, avenue Maurice-Donat, 06800 Cagnes-sur-Mer, France.
authors.forename: T
authors.initials: T
authors.lastname: Martin
authors.affiliation: Service maxillo-faciale, hôpital Trousseau, CHRU de Tours, avenue de la République, 37044 Tours cedex 9, France.
authors.forename: B
authors.initials: B
authors.lastname: Laure
mesh_terms: D000328:Adult; D005145:Face; D006801:Humans; D056948:Orthognathic Surgical Procedures / Q000379:methods / Q000592:standards*; D017060:Patient Satisfaction; D058996:Quality Improvement; D013518:Surgery, Plastic / Q000592:standards*
keywords: Chirurgie orthognatique; Esthetics; Esthétique; Orthognatic surgery; Patient satisfaction; Satisfaction