2020 Stomatologiia

[A method of osteoplasty of the mental region of the mandible].

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Stomatologiia Vol. 99 (3) : 47-51 • Jan 2020

Correction of the lower jaw contours is one of the most popular tasks in aesthetic maxillofacial surgery. There are many reduction operations aimed at changing the shape of the lower jaw. However, augmentation mandible plasty is mainly associated with the use of synthetic implants. In 2013, A. Triaca published a paper <<chin wing technique>> in detail, which we used as a prototype. In this article, we will present the technique and experience of using osteoplastic three-dimensional mandible plasty, which has a number of special features: the increase in the bigonial width is due to the median vertical osteotomy of the free lower edge of the lower jaw, followed by lateralization of the distal parts of the lower fragments, osteosynthesis is performed using the original trapezoidal titanium mini-plate. Since 2018 30 patients have been operated on with different variants of the anatomy of the lower jaw with requirements for increasing the projection of the chin, increasing the width of the lower third of the face and changing the contour of the mandible. The mandible plasty proposed by us allows us to achieve good aesthetic results and can replace the use of synthetic implants.

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