Online ISSN: 2515-8260

Author : Ahmed, Dr Suhael

Evaluation Of Alar Base Changes After Orthognathic Surgery: An Original Research

Dr. Nafeesa Tabassum; Dr. Eklavya Sharma; Dr. Tanya Anand; Dr Shilpa Sunil Khanna M.D.S; Dr Suhael Ahmed; Dr. Gowri Swaminatham Pendyala; Dr. Heena Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5279-5286

Aim: Purpose of our research was to assess any soft tissue changes, especially related to alar base after orthognathic surgical procedure. Methodology: 20 patients were selected for this study who were suffering from maxillary hypoplasia, maxillary or mandibular prognathism. They underwent orthognathic surgeries like LeFort I osteotomy of maxilla and/or bilateral sagittal split osteotomy (BSSO) of mandible, or combinations with Genioplasty,Anterior Maxillary Osteotomy and/or Sub-Apical Osteotomy. Superimposition of 3D photographic images before and after treatment was performed for comparisons using 3D stereophotogrammetric camera setup and software. Paired t-test was performed to compare between pre- as well as post-operative measurements of alar base. Results: The average width of the alar base and subalare were almost same after surgery. Alar width was amplified by 0.74 mm. Nasal height and length persisted. Nasolabial angle enlarged significantly. Nostril’s total area also increased. Nasal tip projection decreased significantly by 1.99 mm. Conclusion: The nasal changes in patients demonstrated an increase of the nasolabial angle, a delicate increase of the alar width, together with no change on the alar base width, nasal height, and nasal length.

Evaluation Of Verical Height Changes In Anteroposterior Movement In Orthognathic Surgery: An Orignal Research

Dr Suhael Ahmed; Dr. Annesha Koinyaki Konwar; Dr Shilpa Sunil Khanna; Dr. Rahul VC Tiwari; Dr. Nafeesa Tabassum; Dr. Kommuri Baji Babu; Dr. Heena Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3216-3221

Aim: The purpose of our research was to assess the vertical height changes after orthognathic surgery during anterio-posterior movement using cephalometric analysis. Methodology: Immediate Postsurgical and one-year postsurgical lateral cephalograms of 10 adult patients (age group - 17 to 40 years, with a mean age of 22.2 years) who had been treated successfully by maxillary Le-Fort I osteotomy were obtained. Comparisons were made between T1-T2 to assess the changes following surgery and to evaluate the stability, one year following the surgery using 5 horizontal, 5 vertical linear and 2 angular measurement. A paired t‑test was used to analyse the paired observations. Results: The incisors extrusion was limited to an average of 1.2 mm and the molars showed a 0.2 mm movement. The upper incisor showed a significant posterior movement. The upper molar also showed a posterior movement but to a lesser extent when compared to the incisors. Conclusion: There was a significant reduction in the facial height and significant anterior movement of maxilla after surgery. Even after one year of surgery, negligible amount of relapse was recorded except at the incisors.