Grillo Ricardo, Borba Alexandre M, Lima Ana Paula C B, Pitta Marcos C, Veronesi Regiane, Jodas Claudio R P
Department of Oral & Maxillofacial Surgery, Faculdade São Leopoldo Mandic, Campinas, Brazil.
Department of Oral and Maxillofacial Surgery, Universidade de Cuiabá, Cuiabá, Brazil.
J Taibah Univ Med Sci. 2021 Sep 4;17(2):320-325. doi: 10.1016/j.jtumed.2021.08.006. eCollection 2022 Apr.
Orthognathic surgery has an undeniable functional effect, but the aesthetic result must not be disregarded, especially since many patients visit the surgeon precisely because of an aesthetic complaint and ignore the practical benefits. The aim of this paper is to discuss about an ideal treatment that combines this functional improvement with facial aesthetics and improves it after the operation. In order to predict which aesthetic deficits may occur, a facial analysis is essential. As precise as the virtual planning may be, there is still no exact predictability of soft tissue behavior. Some non-surgical procedures can help the surgeon achieve a result that better meets the patients' expectations. Imaging exams, photographs, facial analyzes, and patient complaints are essential to assess the possibility of any postoperative refinement. The entire surgical planning is discussed with the patient; the possibility of refinement must be part of the treatment plan. The surgeon's focus is on the functional correction of the dentofacial deformity, but the aesthetic outcome is essential for the patient. The results of this study suggest that refinement should be part of the treatment plan.
正颌外科手术具有不可否认的功能效果，但美学效果也不容忽视，特别是因为许多患者正是由于美学方面的问题才去找外科医生，而忽略了实际的益处。本文的目的是讨论一种理想的治疗方法，该方法将这种功能改善与面部美学相结合，并在术后加以提升。为了预测可能出现的美学缺陷，面部分析至关重要。尽管虚拟规划可能非常精确，但软组织的行为仍然无法完全准确预测。一些非手术程序可以帮助外科医生获得更符合患者期望的结果。影像学检查、照片、面部分析和患者的主诉对于评估术后进行任何微调的可能性至关重要。整个手术计划都要与患者进行讨论；微调的可能性必须成为治疗计划的一部分。外科医生的重点是牙颌面畸形的功能矫正，但美学效果对患者来说至关重要。这项研究的结果表明，微调应该成为治疗计划的一部分。
