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J Korean Dent Assoc. 2009;47(11):750-757. Published online November 30, 2009.
DOI: https://doi.org/10.22974/jkda.2009.47.11.006
- 하안면과 경부의 심미성 증진을 위한 지방흡입술을 동반한 Submentoplasty 술식: 증례보고
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박영주1, 남정훈2, 송준호3, 연병무4, 김다영5, 안장훈6, 강태인7, 강혜진8, 김준현9
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1한림대학교 의과대학 강남성심병원 구강악안면외과학교실
2한림대학교 의과대학 강남성심병원 구강악안면외과학교실
3한림대학교 의과대학 강남성심병원 구강악안면외과학교실
4한림대학교 의과대학 강남성심병원 구강악안면외과학교실
5한림대학교 의과대학 강남성심병원 구강악안면외과학교실
6한림대학교 의과대학 강남성심병원 구강악안면외과학교실
7한림대학교 의과대학 강남성심병원 구강악안면외과학교실
8한림대학교 의과대학 강남성심병원 구강악안면외과학교실
9서울 베스티안병원 -
- Submentoplasty for esthetic improvement of the neck-lower facial region : Two cases report
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Young-Ju Park1, Jeong-Hun Nam2, Jun-Ho Song3, Byung-Moo Yeon4, Da-Young Kim5, Jang-Hun Ahn6, Tae-In Gang7, Hae-Jin Kang8, Jun-Hyun Kim9
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1Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
2Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
3Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
4Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
5Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
6Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
7Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
8Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University
9Bestian Medical Center -
- Abstract
- Purpose
The purpose of this study is to evaluate the clinical availability of submentoplasty for esthethic improvement of the cervico-facial region of patients with obtuse chin-neck angle. Materials and methods : Case 1. We evaluate the changes of submental line length and chin-neck angle of 35-year-old woman with skeletal Class III and mandibular excess with excessive submental fat before and after surgery: Bilateral sagittal split ramus osteotomy(BSSRO) setback(5mm), Mandibular Angle Reduction, Reduction Malarplasty and Submentoplasty. In this case, It was done simultaneously with orthognathic surgery. Case 2. The changes of submental line length and chin-neck angle of 20-year-old man with skeletal class III and maxillary defiency were evaluated before surgery, at first surgery : Lefort I osteotomy(6mm posterior Impaction), BSSRO setback(9mm), Paranasal Augmentation and at second surgery: genioplasty(6mm advanced) with submentoplasty. In this case, submentoplasty and advancement genioplasty were done after 2 months post-operative periods. Results : Case 1. In case of the Skeletal Class III mandibular excess with submental fat deposit, It showed the improvement of submental angle and length of submental line after simultaneous submentoplasty. Submental angle is changed from 177° (pre-op) to 151° (post-op) and submental line length is changed from 8mm(pre-op) to 36mm(post-op). Case 2. The improvement of submental angle and length of submental line after delayed submentoplasty was aquired in case of the skeletal class III maxillary defiency. Submental angle is changed from 154° (pre-op) to 161° (first surgery) and to 153° (second surgery) and submental line length is changed from 25mm(pre-op) to 19mm(first surgery) and to 23mm(second surgery). Conclusion : The results suggest that Submentoplasty is useful surgical procedure for esthethic improvement of the cervicofacial region of patients with obtuse chin-neck angle.
Keywords :submentoplasty;lipectomy;cervicofacial;orthognathic surgery;
