title: Soft tissue changes after a mandibular osteotomy for symmetric skeletal class III malocclusion.
abstract: The soft tissue profile is crucial to esthetics after orthognathic surgery. The aim of this study was to assess the soft tissue changes of the subnasal and submental regions more than 1 year after a sagittal split ramus osteotomy (SSRO) in patients with skeletal class III malocclusion. A total of 22 patients with mandibular prognathism were included in this study. Patients had lateral cephalograms before and more than 1 year after they underwent an isolated SSRO. Soft and hard tissue changes were assessed using the lateral cephalograms. The lower lip, labiomenton, and soft tissue menton moved posteriorly by 85, 89, and 88% compared with the corresponding hard tissue, and the movement of the soft tissue B point and the top of the chin nearly reflected the displacement of the hard tissues, at 96 and 99%, respectively. The labiomenton, stomions, and naso-labial angles were changed after the mandibular set-back and the changes in these angles correlated with either the width of the soft tissue or skeletal displacement. The naso-labial angle could be altered even if an isolated mandibular osteotomy is performed. Changes to the stomions and naso-labial angles were affected by hard tissue movement, while changes to the labiomental angle were affected by the width of the soft tissue after the mandibular osteotomy. It is important to create an accurate preoperative prediction of the esthetic outcomes after a mandibular osteotomy by considering the interrelations between the hard and soft tissues.
authors: Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan. sohba@nagasaki-u.ac.jp.
authors: Seigo
authors: S
authors: Ohba
authors: Department of Orthodontics and Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
authors: Haruka
authors: H
authors: Kohara
authors: Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
authors: Takamitsu
authors: T
authors: Koga
authors: Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
authors: Takako
authors: T
authors: Kawasaki
authors: Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
authors: Kei-Ichirou
authors: KI
authors: Miura
authors: Department of Orthodontics and Dentofacial Orthopedics, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
authors: Noriaki
authors: N
authors: Yoshida
authors: Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
authors: Izumi
authors: I
authors: Asahina
mesh_terms: D000293:Adolescent; D000328:Adult; D002508:Cephalometry; D002680:Chin / Q000033:anatomy & histology; D004955:Esthetics, Dental; D005145:Face / Q000033:anatomy & histology*; D005260:Female; D006801:Humans; D008046:Lip / Q000033:anatomy & histology; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D063168:Mandibular Osteotomy; D009666:Nose / Q000033:anatomy & histology; D016896:Treatment Outcome
keywords: Mandibular osteotomy; Naso-labial angle; Orthognathic surgery; Soft tissue change