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Complications of Genioplasty

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Complications in Maxillofacial Cosmetic Surgery

Abstract

Genioplasty is a safe and predictable procedure. It is an aesthetic surgical procedure that creates a balanced facial profile and alters the lower one third of the facial skeleton. It has minimal complications. This chapter will review important aspects of the preoperative evaluation, the surgical procedure, as well as potential complications. Management and prevention of these complications will also be addressed.

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References

  1. Richard O, Ferrara JJ, Cheynet F, Guyot L, Thiery G, Blanc JL. Complications of genioplasty. Rev Stomatol Chir Maxillofac. 2001;102(1):34–9.

    CAS  PubMed  Google Scholar 

  2. White JB, Dufresne CR. Management and avoidance of complications in chin augmentation. Aesthet Surg J. 2011;31(6):634–42.

    Article  PubMed  Google Scholar 

  3. Guyuron B, Raszewski RL. A critical comparison of osteoplastic and alloplastic augmentation genioplasty. Aesth Plast Surg. 1990;14:199.

    Article  CAS  Google Scholar 

  4. Robinson M, Shuken R. Bone resorption under plastic chin implants. J Oral Surg. 1969;27:116–9.

    CAS  PubMed  Google Scholar 

  5. Yaremchuk MJ. Facial skeletal reconstruction using porous polyethylene implants. Plast Reconstr Surg. 2003;111:181.

    Google Scholar 

  6. Friedland JA, Coccaro PJ, Converse JM. Retrospective cephalometric analysis of mandibular bone adsorption under silicone rubber chin implants. Plast Reconstr Surg. 1976;57:144.

    Article  CAS  PubMed  Google Scholar 

  7. Hohl TH, Epker BN. Macrogenia: a study of treatment results with surgical recommendations. Oral Surg Oral Med Oral Pathol. 1976;41:545–67.

    Article  CAS  PubMed  Google Scholar 

  8. Guyuron B, Kadi JS. Problems following genioplasty. Diagnosis and treatment. Clin Plast Surg. 1997;24:507–14.

    CAS  PubMed  Google Scholar 

  9. Strauss RA, Abubaker AO. Genioplasty: a case for advancement osteotomy. J Oral Maxillofacial Surg. 2000;58:783–7.

    Article  CAS  Google Scholar 

  10. Moenning JE, Wolford LM. Chin augmentation with various alloplastic materials: a comparative study. Int J Adult Orthodon Orthognath Surg. 1989;4:175–87.

    CAS  PubMed  Google Scholar 

  11. Gui L, Huang L, Zhang Z. Geniolpasty and chin augmentation with Medpor implants: a report of 650 cases. Aesthet Plast Surg. 2008;32:220–6.

    Article  Google Scholar 

  12. Gianni AB, D’Orto O, Biglioli F, et al. Neurosensory alteration of the inferior alveolar and mental nerve after genioplasty alone or associated with sagittal osteotomy of the mandibular ramus. J Craniomaxillofac Surg. 2002;30:295–303.

    Article  PubMed  Google Scholar 

  13. Hwang K, Lee WJ, Song YB, et al. Vulnerability of the inferior alveolar nerve and mental nerve during genioplasty: an anatomic study. J Craniofac Surg. 2005;16:10–4.

    Article  PubMed  Google Scholar 

  14. Kuzmanovic DV, Payne AG, Kieser JA, et al. Anterior loop of the mental nerve: a morphological and radiographic study. Clin Oral Implants Res. 2003;14:464–71.

    Article  PubMed  Google Scholar 

  15. Outsterhout DK. Sliding genioplasty, avoiding mental nerve injuries. J Craniofac Surg. 1996;7:297–8.

    Article  Google Scholar 

  16. Westermark A. Inferior alveolar nerve function after mandibular osteotomies. Br J Oral Maxillofac Surg. 1998;36:425–8.

    Article  CAS  PubMed  Google Scholar 

  17. Ritter EF. The course of the inferior alveolar neurovascular canal in relation to sliding genioplasty. J Craniofac Surg. 2005;16(1):10–4.

    Article  Google Scholar 

  18. Chaushu G, Blinder D, Taicher S, et al. The effect of precise reattachment of the mentalis muscle of the soft tissue response to genioplasty. J Oral Maxillofac Surg. 2001;59:510–6.

    Article  CAS  PubMed  Google Scholar 

  19. Papel ID, Capone RB. Botulism toxin A for mentalis muscle dysfunction. Arch Facial Plast Surg. 2001;3:268–9.

    Article  CAS  PubMed  Google Scholar 

  20. Zide BM, McCarthy J. The mentalis muscle: an essential component of chin and lower lip position. Plast Reconstr Surg. 1989;83:413–20.

    Article  CAS  PubMed  Google Scholar 

  21. Santos Junior JF, Abrahao M, Gregorio LC, Zonato AI, Gumieiro EH. Genioplasty for genioglossus muscle advancement in patients with obstructive sleep apnea-hypopnea syndrome and mandibular retrognathia. Braz J Otorhinolarygngol. 2007;73:480–6.

    Article  Google Scholar 

  22. Trauner R, Obwegeser H. Surgical correction of mandibular prognathism and retrognathism with consideration of genioplasty. Oral Surg. 1957;10:677.

    Article  CAS  PubMed  Google Scholar 

  23. Pearson DC, Sherris DA. Resorption beneath silastic mandibular implants: effects of placement and pressure. Arch Facial Plast Surg. 1999;1:261–4.

    Article  CAS  PubMed  Google Scholar 

  24. Talebzadeh N, Pogrel MA. Long-term hard and soft tissue relapse rate after genioplasty. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:153–6.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Elie M. Ferneini M.D., D.M.D., M.H.S., F.A.C.S. .

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Sood, A., Caldemeyer, C., Ferneini, E.M. (2018). Complications of Genioplasty. In: Ferneini, E., Castiglione, C., Banki, M. (eds) Complications in Maxillofacial Cosmetic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-58756-1_19

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  • DOI: https://doi.org/10.1007/978-3-319-58756-1_19

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