Modified high-level Le Fort I advancement without malar augmentation: Assessment of effect on midfacial aesthetics

dc.authorid0000-0002-1466-5869
dc.authorid0000-0002-7723-5452
dc.authorid0000-0003-1077-7342
dc.contributor.authorÖzel, Abdullah
dc.contributor.authorÇukurova Yılmaz, Zeynep
dc.contributor.authorSağlam, Rümeysa
dc.contributor.authorUçkan, Sina
dc.date.accessioned2021-03-25T05:51:15Z
dc.date.available2021-03-25T05:51:15Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Ana Bilim Dalı
dc.description.abstractThe 'beauty arch', an aesthetic feature of the midface, is a double-S-shaped curve that extends downward from the lateral canthus. This retrospective study evaluated whether modified high Le Fort I advancement (combined with impaction or down-grafting) without malar augmentation can approximate a patient's 'ideal' beauty arch (IBA). Pre- and postoperative profile (natural head position) photographs for 36 patients with midfacial hypoplasia were aligned digitally. For each individual, standardized methods were used to identify landmarks and draw the preoperative real beauty arch (RBA), postoperative RBA, and IBA. Distances from a defined landmark to each arch were measured and means were compared. The mean advancement range was 4.2 +/- 2.2 mm, and the mean pre- and postoperative RBA distances were significantly different (138.7 +/- 24.1 vs 145.0 +/- 25.8 pixels, respectively; P = 0.0001). In the impaction and down-grafting subgroups, there was no significant correlation between amount of maxillary movement and the difference between pre- and postoperative RBA distances (P > 0.05 for both). The postoperative RBA was satisfactorily close to the IBA in 35 cases (97.2%); one patient required later augmentation. The findings suggest that modified high Le Fort I advancement surgery without malar augmentation provides satisfactory malar projection for most patients with maxillary hypoplasia.
dc.identifier.citationÖzel, A., Çukurova Yılmaz, Z., Sağlam, R. ve Uçkan, S. (2021). Modified high-level Le Fort I advancement without malar augmentation: Assessment of effect on midfacial aesthetics. International Journal of Oral and Maxillofacial Surgery, 50(3), 378-383. https://dx.doi.org/10.1016/j.ijom.2020.07.024
dc.identifier.doi10.1016/j.ijom.2020.07.024
dc.identifier.endpage383
dc.identifier.issn0901-5027
dc.identifier.issn1399-0020
dc.identifier.issue3
dc.identifier.scopusqualityQ1
dc.identifier.startpage378
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijom.2020.07.024
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6647
dc.identifier.volume50
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherChurchill Livingstone
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectLe Fort I
dc.subjectMidfacial Hypoplasia
dc.subjectMalar Augmentation
dc.subjectBeauty Arch
dc.titleModified high-level Le Fort I advancement without malar augmentation: Assessment of effect on midfacial aesthetics
dc.typeArticle

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