{"title":"Associations with Lip Cant and Facial Midline Correction Following Bimaxillary Surgery in Class III Asymmetry: A CBCT-Based Analysis.","authors":"Chih-Ling Lin, Yun-Fang Chen, Ying-An Chen, Chuan-Fong Yao, Tong Xi, Yu-Fang Liao, Yu-Ray Chen","doi":"10.1016/j.bj.2025.100877","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the outcomes of bimaxillary surgery for class III asymmetry and lip cant, and identified factors associated with lip cant and facial midline correction.</p><p><strong>Materials and methods: </strong>Fifty adult patients (22 females, 28 males; mean age: 24.8 ± 5.1 years) with class III asymmetry and lip cant who underwent bimaxillary surgery were prospectively and consecutively analyzed. Cone-beam computed tomography (CBCT) scans obtained preoperatively and at postoperative follow-up were superimposed to assess surgical jaw movements in six degrees of freedom and their effects on lip cant and facial midline symmetry.</p><p><strong>Results: </strong>Significant reductions were observed in lip cant (1.6 ± 1.6 mm), lower lip deviation (2.4 ± 1.7 mm), chin deviation (5.8 ± 4.2 mm), and facial midline deviation (9.7 ± 7.2 mm). Multiple linear regression analysis identified mandibular roll correction (β = 0.456, P < 0.01) and pre-treatment lip cant severity (β = 0.394, P < 0.01) as significant factors of lip cant reduction. Additionally, chin shift (β = 0.495, P < 0.01) and mandibular shift (β = 0.461, P < 0.01) were significant factors of facial midline correction.</p><p><strong>Conclusion: </strong>Bimaxillary surgery significantly improved lip cant and facial midline deviation in patients with class III asymmetry and lip cant. Mandibular roll correction and pre-treatment lip cant severity were key factors associated with lip cant correction, while chin and mandibular shift correction were associated with facial midline improvement.</p>","PeriodicalId":8934,"journal":{"name":"Biomedical Journal","volume":" ","pages":"100877"},"PeriodicalIF":4.1000,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biomedical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.bj.2025.100877","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"BIOCHEMISTRY & MOLECULAR BIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: This study evaluated the outcomes of bimaxillary surgery for class III asymmetry and lip cant, and identified factors associated with lip cant and facial midline correction.
Materials and methods: Fifty adult patients (22 females, 28 males; mean age: 24.8 ± 5.1 years) with class III asymmetry and lip cant who underwent bimaxillary surgery were prospectively and consecutively analyzed. Cone-beam computed tomography (CBCT) scans obtained preoperatively and at postoperative follow-up were superimposed to assess surgical jaw movements in six degrees of freedom and their effects on lip cant and facial midline symmetry.
Results: Significant reductions were observed in lip cant (1.6 ± 1.6 mm), lower lip deviation (2.4 ± 1.7 mm), chin deviation (5.8 ± 4.2 mm), and facial midline deviation (9.7 ± 7.2 mm). Multiple linear regression analysis identified mandibular roll correction (β = 0.456, P < 0.01) and pre-treatment lip cant severity (β = 0.394, P < 0.01) as significant factors of lip cant reduction. Additionally, chin shift (β = 0.495, P < 0.01) and mandibular shift (β = 0.461, P < 0.01) were significant factors of facial midline correction.
Conclusion: Bimaxillary surgery significantly improved lip cant and facial midline deviation in patients with class III asymmetry and lip cant. Mandibular roll correction and pre-treatment lip cant severity were key factors associated with lip cant correction, while chin and mandibular shift correction were associated with facial midline improvement.
期刊介绍:
Biomedical Journal publishes 6 peer-reviewed issues per year in all fields of clinical and biomedical sciences for an internationally diverse authorship. Unlike most open access journals, which are free to readers but not authors, Biomedical Journal does not charge for subscription, submission, processing or publication of manuscripts, nor for color reproduction of photographs.
Clinical studies, accounts of clinical trials, biomarker studies, and characterization of human pathogens are within the scope of the journal, as well as basic studies in model species such as Escherichia coli, Caenorhabditis elegans, Drosophila melanogaster, and Mus musculus revealing the function of molecules, cells, and tissues relevant for human health. However, articles on other species can be published if they contribute to our understanding of basic mechanisms of biology.
A highly-cited international editorial board assures timely publication of manuscripts. Reviews on recent progress in biomedical sciences are commissioned by the editors.