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ISSN 2992-7757 (Electronic)
Órgano de difusión de la Asociación Latinoamericana de Cirugía y Traumatología Bucomaxilofacial (ALACIBU)

2023, Number 1

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Lat Am J Oral Maxillofac Surg 2023; 3 (1)

Harmonization to improve the esthetic result in orthognathic surgery

Lobo LLF, Trench PL, Prado J, Alvarez LAT

Language: Spanish
References: 10
Page: 12-17
PDF size: 380.34 Kb.


ABSTRACT

Orthognathic surgery aligns the patient's jaws in the desired and most appropriate position. However, the procedure may leave other aesthetic problems unresolved or cause undesirable aesthetic changes that persist months or years after surgery. Aesthetic results in orthognathic surgery are one of the main objectives of patients, orthodontists and surgeons. Correction of maxillomandibular bone deformity generally restores the functions of the stomatognathic system and facial aesthetics. However, symmetry and desired soft tissue projection are not always achieved with bone movement alone. The most popular soft tissue filler is hyaluronic acid (HA). Natural HA is composed of repeating disaccharide units of N-acetyl-D-glucosamine and D-glucuronate. HA is a natural component of the extracellular matrix with a high turnover rate. It is rapidly degraded by hyaluronidase with a half-life of about 12 hours. Therefore, HA products are stabilized by crosslinking agents. Generally, the filling effects can last for six to nine months. The purpose of this case report is to report the application of hyaluronic acid in a patient after orthognathic surgery.


REFERENCES

  1. Wollina U. Perioral rejuvenation: restoration of attractiveness in aging females by minimally invasive procedures. Clin Interv Aging. 2013; 8: 1149-1155.

  2. Huang L, Li Z, Yan J, Chen L, Piao ZG. Evaluation of facial soft tissue thickness in asymmetric mandibular deformities after orthognathic surgery. Maxillofac Plast Reconstr Surg. 2021; 43 (1): 37. doi: 10.1186/s40902-021-00323-5.

  3. Joss CU, Joss-Vassalli IM, Kiliaridis S, Kuijpers-Jagtman AM. Soft tissue profile changes after bilateral sagittal split osteotomy for mandibular advancement: a systematic review. J Oral Maxillofac Surg. 2010; 68 (6): 1260-1269. doi: 10.1016/j.joms.2010.01.005.

  4. O'Ryan F, Lassetter J. Optimizing facial esthetics in the orthognathic surgery patient. J Oral Maxillofac Surg. 2011; 69 (3): 702-715.

  5. Meyer K, Palmer JW. The polysaccharide of the vitreous humor. J Biol Chem. 1934; 107: 629-634.

  6. Weissman B, Meyer K. The structure of hyalobiuronic acid from umbilical cord. J Am Chem Soc. 1954; 76: 1753-1757.

  7. Ferreira NR, Capobianco MP. Uso do ácido hialurônico na prevenção do envelhecimento facial. Revista Cientifica UNILAGO. 2016; 1 (1): 1-10.

  8. Wollina U, Goldman A. Hyaluronic acid dermal fillers: safety and efficacy for the treatment of wrinkels, aging skin, body sculpturing and medical conditions. Clin Med Rev Therapeutics. 2011; 3: 107-121.

  9. Greene JJ, Sidle DM. The hyaluronic acid fillers: current understanding of the tissue device interface. Facial Plast Surg Clin North Am. 2015; 23 (4): 423-432. doi: 10.1016/j.fsc.2015.07.002.

  10. Oh KM, Seo SK, Park JE, Sim HS, Cevidanes LH, Kim YJ, et al. Post-operative soft tissue changes in patients with mandibular prognathism after bimaxillary surgery. J Craniomaxillofac Surg. 2013; 41 (3): 204-211. doi: 10.1016/j.jcms.2012.09.001.




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