上颌Le Fort Ⅰ型截骨术对鼻形态影响的研究进展

doi:10.13591/j.cnki.kqyx.2023.11.014

摘要/Abstract

摘要：

上颌Le Fort Ⅰ型截骨术是正颌外科中矫治上颌骨畸形最常采用术式之一。但是,上颌骨的移动、肌肉的剥离会影响周围软组织的形态,其中鼻形态的改变越来越受到重视。已有研究报道,正颌手术后鼻形态的不利改变是降低患者手术满意度的主要原因之一。明确上颌Le Fort Ⅰ型截骨术对鼻形态的影响能够帮助医生更准确地预测术后鼻形态的变化,从而优化手术设计、提高医患沟通效率。本文将对上颌Le Fort Ⅰ型截骨术后鼻部形态变化的研究进展作一综述,旨在为临床实践提供相应的参考。

关键词: Le Fort Ⅰ型截骨术, 三维扫描仪, 鼻形态, 鼻翼基底缝合

Abstract:

Le Fort Ⅰ osteotomy is commonly used for correction and treatment of maxillofacial deformities by re-positioning the maxilla. However, Le Fort Ⅰ surgery may lead to surgical soft tissue alterations in nasal morphology, which should be predicted and explained to the patient. It has been reported that the adverse change of nasal morphology after orthognathic surgery is one of the main reasons of decreased patient’s satisfaction. Therefore, understanding such changes is vital for surgical planning and for obtaining appropriate informed consent. In this paper, we reviewed the progress in studieson morphological changes in the nose after Le Fort Ⅰ osteotomy in order to provide reference for clinical practice.

Key words: Le Fort Ⅰ osteotomy, three-dimensional scanner, nasal morphology, alar base cinch suture

中图分类号:

R783.5

叶亨妮, 陈学鹏, 唐贶昀, 周梦琪, 胡济安. 上颌Le Fort Ⅰ型截骨术对鼻形态影响的研究进展[J]. 口腔医学, 2023, 43(11): 1041-1046.

YE Hengni, CHEN Xuepeng, TANG Kuangyun, ZHOU Mengqi, HU Ji’an. Progress of research on effect of Le Fort Ⅰ maxillary osteotomy on three-dimensional nasal morphology[J]. Stomatology, 2023, 43(11): 1041-1046.

图/表 3

参考文献 48

[1]	Heiman AJ, Nair L, Kanth A, et al. Defining regional variation in nasal anatomy to guide ethnic rhinoplasty:A systematic review[J]. J Plast Reconstr Aesthetic Surg, 2022, 75(8):2784-2795. doi: 10.1016/j.bjps.2022.04.058
[2]	Worasakwutiphong S, Chuang YF, Chang HW, et al. Nasal changes after orthognathic surgery for patients with prognathism and Class Ⅲ malocclusion:Analysis using three-dimensional photogrammetry[J]. J Formos Med Assoc, 2015, 114(2):112-123. doi: 10.1016/j.jfma.2014.10.003
[3]	Hellak AF, Kirsten B, Schauseil M, et al. Influence of maxillary advancement surgery on skeletal and soft-tissue changes in the nose—a retrospective cone-beam computed tomography study[J]. Head Face Med, 2015, 11(1):23. doi: 10.1186/s13005-015-0080-y
[4]	Allar ML, Movahed R, Wolford LM, et al. Nasolabial changes following double jaw surgery[J]. J Craniofac Surg, 2019, 30(8):2560-2564. doi: 10.1097/SCS.0000000000005876 pmid: 31689731
[5]	Rohrich RJ, Malafa MM, Ahmad J, et al. Managing alar flare in rhinoplasty[J]. Plast Reconstr Surg, 2017, 140(5):910-919. doi: 10.1097/PRS.0000000000003786 pmid: 29068925
[6]	Moon KC, Han SK. Surgical anatomy of the Asian nose[J]. Facial Plast Surg Clin North Am, 2018, 26(3):259-268. doi: 10.1016/j.fsc.2018.03.001
[7]	Choi SY, Kim SJ, Lee HY, et al. Esthetic nasolabial angle according to the degree of upper lip protrusion in an Asian population[J]. Am J Rhinol Allergy, 2018, 32(1):66-70. doi: 10.2500/ajra.2018.32.4485 pmid: 29336294
[8]	Ahmed O, Dhinsa A, Popenko N, et al. Population-based assessment of currently proposed ideals of nasal tip projection and rotation in young women[J]. JAMA Facial Plast Surg, 2014, 16(5):310-318. doi: 10.1001/jamafacial.2014.228
[9]	Ganske IM, Tan RA, Langa OC, et al. Does the nostril shape change after le fort I advancement in patients with unilateral complete cleft lip?[J]. J Oral Maxillofac Surg, 2020, 78(6):998-1005. doi: 10.1016/j.joms.2020.01.010
[10]	Suzen M, Dilaver E, Ak KB, et al. Analysis of inferior nasal morphology and nostrils following le fort I osteotomy[J]. J CraniofacSurg, 2022, 33(8):2682-2687.
[11]	Dindaroğlu F, Kutlu P, Duran GS, et al. Accuracy and reliability of 3D stereophotogrammetry:A comparison to direct anthropometry and 2D photogrammetry[J]. Angle Orthod, 2016, 86(3):487-494.
[12]	Atakan A, Özçırpıcı AA. Correlation between cephalometric nasal changes and patients’ perception after orthognathic surgery[J]. Am J Orthod Dentofac Orthop, 2021, 159(6):e449-e460.
[13]	Baysal A, Sahan AO, Ozturk MA, et al. Reproducibility and reliability of three-dimensional soft tissue landmark identification using three-dimensional stereophotogrammetry[J]. Angle Orthod, 2016, 86(6):1004-1009. pmid: 27023408
[14]	Guntaka PK, Kiang K, Caprio R, et al. Do patients treated with Invisalign have less swelling after orthognathic surgery than those with fixed orthodontic appliances?[J]. Am J Orthod Dentofac Orthop, 2023, 163(2):243-251. doi: 10.1016/j.ajodo.2021.11.015
[15]	Coban G, Yavuz I, Karadas B, et al. Three-dimensional assess-ment of nasal changes after maxillary advancement with impaction using stereophotogrammetry[J]. Korean J Orthod, 2020, 50(4):249-257. doi: 10.4041/kjod.2020.50.4.249
[16]	Almukhtar A, Khambay B, Ju X, et al. Comprehensive analysis of soft tissue changes in response to orthognathic surgery:Mandibular versus bimaxillary advancement[J]. Int J Oral Maxillofac Surg, 2018, 47(6):732-737. doi: 10.1016/j.ijom.2017.11.014
[17]	Jung J, Lee CH, Lee JW, et al. Three dimensional evaluation of soft tissue after orthognathic surgery[J]. Head Face Med, 2018, 14(1):21. doi: 10.1186/s13005-018-0179-z pmid: 30290762
[18]	D’Ettorre G, Farronato M, Candida E, et al. A comparison between stereophotogrammetry and smartphone structured light technology for three-dimensional face scanning[J]. Angle Orthod, 2022, 92(3):358-363. doi: 10.2319/040921-290.1 pmid: 35015071
[19]	Pan FW, Liu JL, Cen YY, et al. Accuracy of RGB-D camera-based and stereophotogrammetric facial scanners:A comparative study[J]. J Dent, 2022, 127:104302. doi: 10.1016/j.jdent.2022.104302
[20]	Zhao YJ, Xiong YX, Wang Y. Three-dimensional accuracy of facial scan for facial deformities in clinics:A new evaluation method for facial scanner accuracy[J]. PLoS One, 2017, 12(1):e0169402.
[21]	ten Harkel TC, Vinayahalingam S, Ingels KJAO, et al. Reliability and agreement of 3D anthropometric measurements in facial palsy patients using a low-cost 4D imaging system[J]. IEEE Trans Neural Syst Rehabil Eng, 2020, 28(8):1817-1824. doi: 10.1109/TNSRE.7333
[22]	Petrides G, Clark JR, Low H, et al. Three-dimensional scanners for soft-tissue facial assessment in clinical practice[J]. J Plast Reconstr Aesthetic Surg, 2021, 74(3):605-614. doi: 10.1016/j.bjps.2020.08.050
[23]	Chen ZC, Albdour MN, Lizardo JA, et al. Precision of three-dimensional stereo-photogrammetry (3dMD^TM) in anthropometry of the auricle and its application in microtiare construction[J]. J Plast Reconstr Aesthetic Surg, 2015, 68(5):622-631. doi: 10.1016/j.bjps.2015.02.020
[24]	Raffone C, Gianfreda F, Pompeo MG, et al. Chairside virtual patient protocol. Part 2:Management of multiple face scans and alignment predictability[J]. J Dent, 2022, 122:104123. doi: 10.1016/j.jdent.2022.104123
[25]	Thurzo A, Strunga M, Havlínová R, et al. Smartphone-based facial scanning as a viable tool for facially driven orthodontics?[J]. Sensors (Basel), 2022, 22(20):7752. doi: 10.3390/s22207752
[26]	Liu JL, Zhang CH, Cai RL, et al. Accuracy of 3-dimensional stereophotogrammetry: Comparison of the 3dMD and Bellus3D facial scanning systems with one another and with direct anthropometry[J]. Am J Orthod Dentofacial Orthop, 2021, 160(6):862-871. doi: 10.1016/j.ajodo.2021.04.020
[27]	Seon S, Lee HW, Jeong BJ, et al. Study of soft tissue changes in the upper lip and nose after backward movement of the maxilla in orthognathic surgery[J]. J Korean Assoc Oral Maxillofac Surg, 2020, 46(6):385-392. doi: 10.5125/jkaoms.2020.46.6.385 pmid: 33377463
[28]	Lee JY, Kim YI, Hwang DS, et al. Effect of setback Le Fort I osteotomy on midfacial soft-tissue changes as evaluated by cone-beam computed tomography superim position for cases of skeletal Class Ⅲ malocclusion[J]. Int J Oral Maxillofac Surg, 2013, 42(6):790-795. doi: 10.1016/j.ijom.2012.11.012
[29]	Sabri H, Tehranchi A, Sarkarat F. 3-dimensional analysis of nasal soft tissue alterations following maxillary Lefort I advancement with and without impaction using 3D photogrammetry scanner[J]. Oral Maxillofac Surg, 2022:1-13.
[30]	Denadai R, Chou PY, Yao CF, et al. Effect of le fort I maxillary repositioning on three-dimensional nasal tip rotation:A comparative study with implication for the Asian nose[J]. Plast Reconstr Surg, 2021, 147(4):903-914. doi: 10.1097/PRS.0000000000007774 pmid: 33750094
[31]	Denadai R, Chou PY, Lin YY, et al. Type of maxillary segment mobilization affects three-dimensional nasal morphology[J]. J Plast Reconstr Aesthetic Surg, 2021, 74(3):592-604. doi: 10.1016/j.bjps.2020.08.119
[32]	de Sousa Gil AP, Guijarro-Martínez R, Haas OL, et al. Three-dimensional analysis of nasolabial soft tissue changes after Le Fort I osteotomy:A systematic review of the literature[J]. Int J Oral Maxillofac Surg, 2019, 48(9):1185-1200. doi: 10.1016/j.ijom.2019.01.028
[33]	Üstün GG, Konaş E, El H, et al. The effects of maxillary movements on nasal aesthetics following orthognathic surgery[J]. J Craniofac Surg, 2020, 31(3):796-800. doi: 10.1097/SCS.0000000000006167 pmid: 31934978
[34]	Sawh-Martinez R, Lin AM, DeSesa CR, et al. Clockwise and counterclockwise le fort I movements influence nasolabial morphology differently[J]. Plast Reconstr Surg, 2018, 142(6):1572-1581. doi: 10.1097/PRS.0000000000004988 pmid: 30188468
[35]	Schendel SA, Williamson LW. Muscle reorientation following superior repositioning of the maxilla[J]. J Oral Maxillofac Surg, 1983, 41(4):235. doi: 10.1016/0278-2391(83)90265-3
[36]	Khamashta-Ledezma L, Naini FB. Prospective assessment of maxillary advancement effects:Maxillary incisor exposure, and upper lip and nasal changes[J]. Am J Orthod Dentofac Orthop, 2015, 147(4):454-464. doi: 10.1016/j.ajodo.2014.11.028
[37]	Westermark AH, Bystedt H, von Konow L, et al. Nasolabial morphology after le fort I osteotomies effect of alar base suture[J]. Int J Oral Maxillofac Surg, 1991, 20(1):25-30. doi: 10.1016/S0901-5027(05)80690-3
[38]	Muradin MSM, Rosenberg A, van der Bilt A, et al. The effect of alar cinch sutures and V-Y closure on soft tissue dynamics after Le Fort I intrusion osteotomies[J]. J Cranio Maxillofac Surg, 2009, 37(6):334-340. doi: 10.1016/j.jcms.2009.03.004
[39]	Monnazzi MS, Mannarino FS, Gabrielli MFR. Extraoral alar base cinch. A modification for the technique[J]. J Oral Maxillofac Surg Med Pathol, 2014, 26(2):142-144.
[40]	Mani V, Panicker P, Shenoy A, et al. Evaluation of changes in the alar base width following lefort 1 and AMO with conventional alar cinch suturing:A photographic study of 100 cases[J]. J Maxillofac Oral Surg, 2020, 19(1):21-25. doi: 10.1007/s12663-019-01227-8
[41]	Raithatha R, Naini FB, Patel S, et al. Long-term stability of limiting nasal alar base width changes with a cinch suture following Le Fort I osteotomy with submentalintubation[J]. Int J Oral Maxillofac Surg, 2017, 46(11):1372-1379. doi: 10.1016/j.ijom.2017.04.027
[42]	Mahsoub R, Naini FB, Patel S, et al. Nasolabial angle and nasal tip elevation changes in profile view following a Le Fort I osteotomy with or without the use of an alar base cinch suture:A long-term cohort study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2020, 130(4):379-386. doi: 10.1016/j.oooo.2020.05.011
[43]	Ishida T, Manabe A, Yang SS, et al. An orthodontic-orthognathic patient with obstructive sleep apnea treated with Le Fort I osteotomy advancement and alar cinch suture combined with a muco-musculo-periosteal V-Y closure to minimize nose deformity[J]. Angle Orthod, 2019, 89(6):946-952. doi: 10.2319/052818-406.1 pmid: 30698453
[44]	Yang J, Chu Y, Liao H, et al. Comparison of the effectiveness between conventional and modified cinch suture techniques in LeFort I osteotomy:A systematic review and meta-analysis of randomized control trials[J]. Ann Plast Surge, 2023,doi:10.1097/SAP.0000000000003354.
[45]	Gil APS, Machado-Fernández A, Guijarro-Martínez R, et al. Le Fort I osteotomy and soft tissue response:A retrospective cohort study comparing three different techniques[J]. J Cranio Maxillofac Surg, 2022, 50(2):107-113. doi: 10.1016/j.jcms.2021.11.009
[46]	Cho YS, Hwang KG, Park CJ. Postoperative effects of anterior nasal spine bone harvesting on overall nasal shape[J]. Clin Oral Implants Res, 2013, 24(6):618-622. doi: 10.1111/clr.2013.24.issue-6
[47]	Jung S, Kim JY, Jung YS, et al. Reliability of anterior nasal spine as a reference point after LeFort I surgery using three-dimensional analysis[J]. J Craniofac Surg, 2022, 33(7):2104-2108. doi: 10.1097/SCS.0000000000008619 pmid: 35261362
[48]	Zhong YH, Zhu YJ, Jiang TR, et al. A novel study on alar mobility of HAN female by 3dMD dynamic surface imaging system[J]. Aesth Plast Surg, 2022, 46(1):364-372. doi: 10.1007/s00266-021-02386-1