title: A Simplified, Reliable Approach for Advancement Genioplasty.
abstract: OBJECTIVE
  Advancement genioplasty is a versatile procedure able to address both functional and cosmetic issues. It is commonly performed by oral surgeons and less so by facial plastic and plastic surgeons, presumably because of its inherent risks.
  
  
  OBJECTIVE
  To present our technique for advancement genioplasty and our aesthetic and functional outcomes.
  
  
  METHODS
  A retrospective review was conducted of the medical records of 126 patients who had undergone advancement genioplasty with our modified technique in a private practice setting from September 1997, through September 2014. Our analysis was performed between January and March 2015.
  
  
  METHODS
  Description of technique and evaluation of complication rates, improvement in sleep apnea symptoms, and patient satisfaction.
  
  
  RESULTS
  The 126 patients had a mean age of 39.8 years. There were 81 male and 45 female patients. The overall complication rate was 6.3% (8 of the 126 patients). Complications included plate extrusion in 2 patients, infection in 2 patients, mental nerve injury in 3 patients, and tooth root injury in 1 patient. Patients were satisfied with the aesthetic result of the procedure, which also produced an improvement in obstructive sleep apnea in 82 of 89 (92%) patients with sleep apnea.
  
  
  CONCLUSIONS
  Advancement genioplasty is a valuable tool that can address both functional and aesthetic issues. The technique presented here allows safe, reliable, and effective execution of the procedure.
  
  
  METHODS
  3.
authors.affiliation: Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
authors.forename: David
authors.initials: D
authors.lastname: Chan
authors.affiliation: Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
authors.forename: Yadranko
authors.initials: Y
authors.lastname: Ducic
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D063172:Genioplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult