Document Detail


Soft-tissue response rate to chin skeletal advancement in patients with lower facial burn scar.
MedLine Citation:
PMID:  24776569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study aimed to evaluate the long-term outcomes and the soft-tissue response to osseous genioplasty in patients with chin retrusion caused by early life facial burn injury.
METHODS: Twenty-two consecutive patients with retrusive chin as a result of severe childhood facial burn were included in this study. Cephalometric analysis and photographs were used to assess the patients for eligibility of a surgical correction. Horizontal hard-tissue advancement and soft-tissue responses were measured as the primary outcomes at the early and late postoperative follow-up visits.
RESULTS: A total of 22 patients fulfilled the study requirements. Average preoperative distance between the pogonion, as the most anterior point of the anterior mandibular contour, and a perpendicular line connecting the nasion and the supramental point of the mandible was 0.82 ± 1.1 mm, which increased significantly to 7.8 ± 0.8 mm after genioplasty (p < 0.0001). Soft tissue was repositioned on average 6.1 ± 0.4 mm anteriorly on average, which is in comparison with the amount of chin skeleton advancement, and a response ratio of 0.8:1 was calculated at late follow-up.
CONCLUSION: Burn-related retrusive chin can appropriately be treated with sliding osseous genioplasty and will require slight overcorrection compared with patients without a history of lower face burn.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Authors:
Kamran As'adi; Seyed Hamid Salehi; Saeed Shoar; Bahman Guyuron
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  133     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-04-29     Completed Date:  2014-06-26     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  669e-674e     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Burns / surgery*
Cephalometry
Chin / surgery*
Cicatrix / surgery*
Face / surgery
Female
Follow-Up Studies
Genioplasty / methods*
Humans
Male
Mandible / surgery
Mandibular Advancement / methods
Osteotomy / methods
Soft Tissue Injuries / surgery*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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