AI Article Synopsis
- The study aimed to compare different genioplasty techniques (chin advancement, rotation and advancement, setback, and reduction) regarding postoperative neurosensory deficits and hematoma formation.
- Conducted at the Armed Forces Institute of Dentistry in Pakistan, the study included patients aged 16-60 who underwent various genioplasty procedures between January 2022 and April 2023.
- Results showed that advancement with rotation genioplasty had the highest rates of neurosensory deficits (about 50%) and hematoma formation (62.5%), while reduction genioplasty had the lowest rates of neurosensory deficits (<1%) and setback genioplasty had the least hematoma formation (25%).
Article Abstract
Objective: To compare different types of genioplasty techniques (chin advancement, rotation and advancement, setback, and reduction) in terms of neurosensory deficit and haematoma formation.
Study Design: Comparative analytical study. Place and Duration of the Study: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan, from January 2022 to April 2023.
Methodology: Patients requiring genioplasty and fulfilling the inclusion criteria i.e. both genders aged 16-60 years were included and divided into 4 groups according to the type of genioplasty performed. Genioplasty was planned as per the ortho treatment plan and performed under general anaesthesia. Setback genioplasty was performed on 8 patients, advancement genioplasty on 11 patients, reduction genioplasty on 3, and advancement with rotation genioplasty on 16 patients. Postoperatively neurosensory deficit was recorded on follow-up after 1 month by subjective and objective assessments, and haematoma formation was assessed clinically on the 7th day after the procedure.
Results: Advancement with rotation genioplasty showed the highest frequency of neurosensory deficit (almost 50%) and reduction type genioplasty showed the least frequency of neurosensory deficit (<1%, p = 0.49). The frequency of haematoma formation was maximum in the advancement with rotation genioplasty (62.5%) and minimum in equal setback genioplasty (25%, p = 0.61).
Conclusion: Advancement with rotation genioplasty had the highest rate of postoperative neurosensory deficit and haematoma formation when compared with other techniques of genioplasty.
Key Words: Genioplasty, Neurosensory deficit, Haematoma, Advancement with rotation genioplasty, Setback genioplasty.
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| http://dx.doi.org/10.29271/jcpsp.2024.07.771 | DOI Listing |
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