Our Summary

This research is about a study on how certain jaw surgeries impact the appearance of the neck. The researchers specifically looked at people with a type of facial deformity known as Class II dentofacial deformity. This condition often affects the jaw and teeth alignment, and can also influence the appearance of the neck, making it look like an hourglass.

The researchers studied 26 patients who had undergone surgery to correct this deformity, either through a technique called bilateral sagittal split osteotomy alone or in combination with other procedures. They took measurements of the neck from photos taken before and six months after the surgery.

The findings showed that the surgery resulted in significant changes in the neck’s appearance. The narrowest part of the neck became less wide, and the angles on both sides of the “hourglass” shape became less pronounced. Additionally, the depth of the neck also increased.

The results suggest that these types of jaw surgeries not only correct the facial deformity but also improve the aesthetics of the neck. Therefore, they suggest that surgeons should also consider the potential impact on neck appearance when planning these types of surgeries.

FAQs

  1. What is Class II dentofacial deformity and how does it affect the appearance of a person?
  2. How does orthognathic surgery impact the appearance of the neck in patients with Class II dentofacial deformity?
  3. Should surgeons consider the potential impact on neck appearance when planning jaw surgeries?

Doctor’s Tip

One helpful tip a doctor might give a patient considering orthognathic surgery is to ensure they have realistic expectations about the outcome. While the surgery can improve both the function and appearance of the jaw, it is important to understand that the healing process takes time and results may not be immediate. Patients should also follow post-operative care instructions carefully to optimize their recovery and final results. Additionally, maintaining good oral hygiene and attending follow-up appointments with the surgeon are important for long-term success.

Suitable For

Patients who are typically recommended for orthognathic surgery include those with severe malocclusion (misalignment of the teeth), facial asymmetry, difficulty chewing or speaking, sleep apnea, and facial deformities such as Class II dentofacial deformity. Additionally, patients who have experienced trauma to the jaw or have congenital conditions affecting the jaw may also be recommended for orthognathic surgery. It is important for patients to undergo a comprehensive evaluation by a qualified oral and maxillofacial surgeon to determine if orthognathic surgery is the best treatment option for their specific condition.

Timeline

Before the surgery:

  1. Consultation with an orthodontist and oral and maxillofacial surgeon to discuss treatment options and create a treatment plan.
  2. Pre-surgical orthodontic treatment to align the teeth and prepare the jaws for surgery.
  3. Pre-operative assessments and tests to ensure the patient is healthy enough for surgery.
  4. Surgery day, where the patient will undergo the orthognathic surgery under general anesthesia.
  5. Initial recovery period in the hospital or surgical center.
  6. Follow-up appointments with the surgical team to monitor healing and progress.

After the surgery:

  1. Post-operative care instructions, including pain management, diet restrictions, and oral hygiene.
  2. Swelling and bruising in the face and neck area, which will gradually decrease over time.
  3. Gradual return to normal activities and diet as healing progresses.
  4. Continued orthodontic treatment to fine-tune the alignment of the teeth and jaws.
  5. Follow-up appointments with the surgical and orthodontic team to monitor progress and make any necessary adjustments.
  6. Long-term maintenance of results through proper oral hygiene, regular dental check-ups, and wearing retainers as recommended by the orthodontist.

What to Ask Your Doctor

Some questions a patient should ask their doctor about orthognathic surgery include:

  1. What specific type of surgery do you recommend for my condition?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery period, and what can I expect during the recovery process?
  4. Will I need to follow a specific diet or take any medication after the surgery?
  5. How will this surgery impact my jaw function, speech, and appearance?
  6. Are there any alternative treatment options to consider?
  7. Are there any long-term effects or considerations I should be aware of?
  8. How experienced are you in performing this type of surgery?
  9. Can you provide before and after photos of patients who have undergone similar surgeries?
  10. Will I need to follow up with any additional treatments or therapies after the surgery?

Reference

Authors: Gulsever S, Suzen M, Uckan S. Journal: J Craniofac Surg. 2022 Nov-Dec 01;33(8):2551-2554. doi: 10.1097/SCS.0000000000008816. Epub 2022 Jul 25. PMID: 35876372