Assessment of soft tissue changes after LeFort I advancement

Eur Arch Otorhinolaryngol. 2021 Mar;278(3):813-819. doi: 10.1007/s00405-020-06295-y. Epub 2020 Aug 19.

Abstract

Purpose: The aim of this retrospective study was to investigate the soft tissue changes after maxillary advancement in class III patients.

Methods: Pre- and post-operative lateral cephalometric radiographs of 20 patients treated with maxillary advancement surgery were included in our study. Skeletal, dental and soft tissue measurements were performed by a single researcher using Dolphin Imaging software version 11.95 (Dolphin Imaging, Chatsworth, CA, USA). Paired t test was used for statistical evaluation and p < 0.05 was considered statistically significant.

Results: The amount of motion in soft tissues, respectively, are UL-E: 2.05 mm, ST.A: 0.65 mm, ST.B: - 5 mm, ST.Pog: - 5.73 mm, ST.Conv: - 3.95 mm, nasal prominence: - 1.58 mm, nasal height: 2.76 mm and upper lip length: 2.22 mm. The change of distance to horizontal and vertical reference planes are, respectively, Prn-HRL: 3.02 mm Prn-VRL: 1.76 mm Sn-HRL: 2.76 mm Sn-VRL: 2.94 mm ST.

A-hrl: 3.74 mm ST.

A-vrl: 3.81 mm UL-HL: 3.93 mm UL-VRL: 4.57 mm LL-HRL: 2.29 mm LL-VRL: 5.31 mm.

Conclusions: It can be concluded that soft tissues related to maxilla moved anteriorly due to maxillary advancement.

Keywords: Advancement; Class III treatment; Craniofacial anomalies; Osteotomy.

MeSH terms

  • Cephalometry
  • Humans
  • Lip
  • Maxilla* / diagnostic imaging
  • Maxilla* / surgery
  • Osteotomy, Le Fort*
  • Retrospective Studies