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Efficacy of V–Y Closure of Upper Lip After Le Fort I Osteotomy Advancement and Superior Repositioning on Facial Esthetics in Comparison to Simple Continuous Closure: A Statistical Analysis

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Abstract

This study aims to evaluate efficacy of V–Y closure of upper lip incision on facial esthetics in comparison to simple continuous closure after Le Fort I advancement and superior repositioning of maxilla. Thirty-four patients were divided in two groups i.e. V–Y closure group (group I = 17 patients) and simple continuous closure group (group II = 17 patients). The preoperative and 1 year post-operative linear and angular changes of hard and soft tissue points of groups I and II were statistically compared. Labial changes were more favourable in V–Y closure group in comparison to simple continuous closure group in both the Le Fort I maxillary movements. The upturning and forward movement of the nose were seen in both the maxillary movements but these nasal changes did not differ significantly between the groups. It was observed that the technique of V–Y closure of upper lip delivers adequate results contributing to better facial esthetics when compared to simple continuous closure.

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Authors and Affiliations

  1. Department of Oral & Maxillofacial Surgery, Kalka Dental College & Hospital, Meerut, India

    Lokesh Chandra & B. L. Sapru

  2. Department of Oral & Maxillofacial Surgery, Bapuji Dental College & Hospital, Davangere, India

    K. K. Rai

  3. Department of Paediatric & Preventive Dentistry, Institute of Dental Sciences & Research, Modinagar, India

    R. Dagur

  4. Clinical Practice, New Delhi, India

    Shikha Chandra

  5. Department of Oral & Maxillofacial Pathology, Kalka Dental College & Hospital, Meerut, India

    S. Bhagwath

Authors
  1. Lokesh Chandra
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  2. B. L. Sapru
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  3. K. K. Rai
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  4. S. Bhagwath
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  5. R. Dagur
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  6. Shikha Chandra
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Correspondence to Lokesh Chandra.

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Chandra, L., Sapru, B.L., Rai, K.K. et al. Efficacy of V–Y Closure of Upper Lip After Le Fort I Osteotomy Advancement and Superior Repositioning on Facial Esthetics in Comparison to Simple Continuous Closure: A Statistical Analysis. J. Maxillofac. Oral Surg. 12, 366–371 (2013). https://doi.org/10.1007/s12663-012-0439-6

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  • DOI: https://doi.org/10.1007/s12663-012-0439-6

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