Abstract
Genioplasty or mentoplasty procedures have been commonly performed for many years [1, 2]. The goal of any genioplasty procedure is to restore harmony and balance of the chin with the face. Owing to the improvement of fixation techniques with plates and screws, reconstructive and corrective bone surgery has become considerably more predictable than was possible when wire osteosynthesis was used [2]. This chapter discusses the advantages, indications, and techniques for application of rigid internal fixation in genioplasty.
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Leonard MS. The use of lag screws in mandibular fractures. Otolaryngol Clin N Am. 1987;20(3):479–93.
Spiessl B. Internal Fixation of the Mandible. In: A Manual of AO/ASIF Principles. Berlin: Springer; 1989.
McBride KL, Bell WH. Chin Surgery. In: Bell WH, Proffit WR, White RP, editors. Surgical Correction of Dentofacial Deformities: Philadelphia: Saunders; 1980. p. 1216–79.
Proffit WR. Treatment Planning: the Search for Wisdom. In: Profitt WR, White RP, editors. Surgical Orthodontic Treatment. Boston: Mosby; 1991. p. 142–91.
Gonzalez-Ulloa M. Quantitative principles in Sosmetic surgery of the face. Plast Reconstr Surg. 1963;29:2.
McNamara JA Jr. A method of cephalometric evaluation. Am J Orthod. 1984;86:449–68.
Moorrees CFA, Kean MR. Natural head position: a basic consideration for analysis of cephalometric radiographs. Am J Phys Anthropol. 1958;16:213–34.
Ricketts RM. Perspectives in the clinical application of cephalometrics. Angle Orthod. 1981;51:115–50.
Sassouni VA. A classification of skeletal facial types. Am J Orthod. 1969;55:109–23.
Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontol Scand. 1971;29:591–607.
Steiner CC. Cephalometrics for you and me. Am J Orthod. 1953;39:729.
Steiner CC. The use of cephalometrics as an aid to planning and assessing orthodontic treatment. Am J Orthod. 1960;46:721–35.
Davis WJ, Davis CL, Daly BW. Long-term bony and soft tissue stability following advancement genioplasty. J Oral Maxillofac Surg. 1988;46:731.
Polido WD, De Clairefont Regis L, Bell WH. Bone resorption, stability, and soft-tissue changes following large chin advancements. J Oral Maxillofac Surg. 1991;49:251–6.
Sik Park H, Ellis E, Fonseca RJ, Reynolds ST, Mayo KH, Arbor A. Oral surgery. A retrospective study of advancement genioplasty. Oral Surg Oral Med Oral Pathol. 1989;67:481.
Patel P, Bagheri S. Genioplasty. In: Bagheri S, Jo C, editors. Clinical Review of Oral and Maxillofacial Surgery. St. Louis: Elsevier; 2008. p. 322.
Bell RB. Computer planning and intraoperative navigation in orthognathic surgery. J Oral Maxillofac Surg. 2011;69:592–605.
Popovich F, Thompson GW. Craniofacial templates for orthodontic case analysis. Am J Orthod. 1977;71:406–20.
Walker R. User Manual Dentofacial Planner Software. Toronto: Dentofacial Planner. p. 198.
Westermark A, Zachow S, Eppley BL. Three-dimensional osteotomy planning in maxillofacial surgery including soft tissue prediction. J Craniofac Surg. 2005;16(1):100–4.
Ricketts RM. Esthetics, environment, and the law of lip relation. Am J Orthod. 1968;54(2):272–89.
Tollefson T, Sykes J. Computer imaging software for profile photograph analysis. JAMA Facial Plast Surg. 2007;9(2):113–9.
Lehman JA. Soft tissue manifestations of aesthetic defects of the jaws: diagnosis and treatment. Clin Plast Surg. 1987;14(4):767–83.
Legan HL, Burstone CJ. Soft tissue cephalometric analysis for orthognathic surgery. J Oral Surg. 1980;38:744–51.
Thomson ERE. Sagittal genioplasty: a new technique of genioplasty. Br J Plast Surg. 1985;38:70–4.
Ellis E, Dechow PC, McNamara JA Jr. Advancement genioplasty with and without soft tissue pedicle. An experimental investigation. J Oral Maxillofac Surg. 1984;42:639.
Mercuri LG, Laskin DM. Avascular necrosis after anterior horizontal augmentation genioplasty. J Oral Surg. 1977;35:296.
Carrao V, Tofigh M, Greenberg AM. Virtual Surgical Planning for Orthognathic Surgery. In: Greenberg AM, Editor. Digital Technologies in Craniomaxillofacial Surgery. New York: Springer; 2018. p. 128.
Ilg P, Ellis E. A comparison of two methods for inserting lag screws. J Oral Maxillofac Surg. 1992;50(2):119–23.
Bähr W, Stoll P. Pre-tapped and self-tapping screws in children’s mandibles. A scanning electron microscopic examination of the implant beds. Br J Oral Maxillofac Surg. 1991;29:330–2.
Phillips JH, Rahn BA. Comparison of compression and torque of self-tapping and pretapped screws. Plast Reconstr Surg. 1989;83(3):447–56.
Prein J, Beyer M. Management of infection and nonunion in mandibular fractures. Oral Maxillofac Surg Clin North Am. 1990;2(1):187–94.
Stadler MW, St. Hillaire H. Immediate osseous genioplasty with Kirschner wire fixation for revision of infected alloplastic chin implant. J Craniofac Surg. 2012;23(5):446.
Yaremchuk MJ. Improving aesthetic outcomes after alloplastic chin augmentation. Plast Reconstr Surg. 2003;112(5):1422–31.
Zide M Pfeifer TM, Longaker MT. Chin surgery: I. Augmentation-the allures and the alerts. Plast Reconstr Surg. 1999;104(6):1843–53.
Guyoron B, Raszewski RL. A critical comparison of osteoplastic and alloplastic augmentation genioplasty. Aesthet Plast Surg. 1990;14:199–206.
Yaremchuk MJ. Facial skeletal reconstruction using porous polyethylene implants. Plast Reconstr Surg. 2003;111(6):1818–27.
Flowers RS. Alloplastic augmentation of the anterior mandible. Clin Plast Surg. 1991;18(1):107–38.
Eppley BL, Sadove AM, Holmstrom H. HTR polymer facial implants: a five year clinical experience. Aesthet Plast Surg. 1995;19:445–50.
Frodel JL. The use of high density polyethylene implants in facial deformities. Arch Otolaryngol Head Neck Surg. 1998;124:1219–23.
Zeph RD. Custom-designed chin augmentation facial. Plast Surg Clin N Am. 2008;16:79–85.
Romo T, Lanson BG. Chin Augmentation. Facial Plast Surg Clin N Am. 2008;16:69–77.
Farkas LG, Katic MJ, Ta H, et al. Anthropometric proportions in the upper lip-lower lip-chin area of the lower face in young white adults. Am J Orthol. 1984;86:52.
Rickets RM. Divine proportions in facial esthetics. Clin Plast Surg. 1982;9:401.
McCarthy J, Zide BM. The mentalis muscle: an essential component of chin and lower lip position. Plast Reconstr Surg. 1989;83(3):413–20.
Rose EH. Autogenous fascia lata grafts; clinical applications in reanimation of the totally or partially paralyzed face. Plast Reconstr Surg. 2005;16(1):20–32. discussion 33–5
Cohen SR, Mardach OL, Kawamoto HK. Chin disfigurement following removal of alloplastic chin implants. Plast Reconstr Surg. 1991;88(1):62–6.
Snyder GB. Discussion: chin disfigurement following removal of alloplastic chin implants. Plast Reconstr Surg. 1991;88(1):67.
Zide BM. Discussion: chin disfigurement following removal of alloplastic chin implants. Plast Reconstr Surg. 1991;88(1):68.
Mittelman H, Spencer JR, Chrzanowski DS. Chin region: management of grooves and mandibular hypoplasia with alloplastic implants facial. Plast Surg Clin N Am. 2007;16:445–60.
Stanton D. Genioplasty. Facial Plast Surg. 2003;19(1):75–86.
Strauss RA, Abubaker AO. Genioplasty: a case for advancement osteotomy. J Oral Maxillofac Surg. 2000;58:783–7.
Chang EW, Lam SM. Sliding genioplasty for correction of chin abnormalities. Arch Facial Plast Surg. 2001;3:8–15.
Park J, Myung JK, Hwang SJ. Soft tissue profile changes after setback genioplasty in orthognathic surgery patients. J Craniomaxillofac Surg. 2013;41(7):1–8.
Miloro M. Peterson’s Principles of Oral and Maxillofacial Surgery. 2nd ed. Hamilton: BC Decker; 2004. p. 45.
Guyuron B, Eriksson E, Persing JA, et al. Plastic Surgery Indications and Practice. St. Louis: Elsevier; 2009.
Greenberg A, Eppley B. Facial Implant Cosmetic Augmentation Using Digital Technologies. In: Greenberg AM, Editor. Digital Technologies in Craniomaxillofacial Surgery. New York: Springer; 2018. p. 275–8.
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Payami, A., Manji, Z., Greenberg, A.M. (2019). Genioplasty Techniques. In: Greenberg, A., Schmelzeisen, R. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1529-3_42
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DOI: https://doi.org/10.1007/978-1-4939-1529-3_42
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