Y. Shoshani et al., THE INFLUENCE OF THE OSTEOTOMY SLOPE ON BONY CHANGES AFTER ADVANCEMENT GENIOPLASTY, Journal of oral and maxillofacial surgery, 56(8), 1998, pp. 919-922
Purpose: The purpose of this study was to develop a prediction method
for advancement genioplasty that would result in accurate preoperative
cephalometric planning of the osteotomy slope and that could be trans
ferred to the patient during the surgical procedure. Patients and Meth
ods: Serial cephalometric tracings of 20 patients who underwent advanc
ement genioplasty were retrospectively analyzed, The osteotomy slope a
ngle was defined as the angle between the osteotomy and a line perpend
icular to the occlusal plane. The measured angle was compared with the
calculated angle deduced from the horizontal and vertical genial post
operative changes. Results: The measured osteotomy slope angle closely
resembled the calculated angle. Conclusions: The close similarity bet
ween the calculated and measured osteotomy slope angles in this study
shows that simple mathematical calculations can be applied clinically
to aid surgeons in achieving a more predictable result, The osteotomy
slope can be determined early in the prediction stage as a calculated
figure based on the desired horizontal and vertical movements of the c
hin and can be transferred to the patient's chin during the surgical s
tage.