WORLD JOURNAL OF PLASTIC SURGERY
Fri, Jan 3, 2025
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Volume 13, Issue 3 (2024)
WJPS 2024, 13(3): 104-110 |
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Afshar A G, Samieirad S, Shiezadeh I, Alizadeh O, Moradpour A, Aboutorabzadeh S H et al . Intermaxillary Fixation Screws (IMF) & Surgery First Approach: A Novel Combination and Case Report. WJPS 2024; 13 (3) :104-110
URL: http://wjps.ir/article-1-1343-en.html
URL: http://wjps.ir/article-1-1343-en.html
Ashkan Golabkesh Afshar1 
, Sahand Samieirad1 , Iman Shiezadeh2 , Omid Alizadeh3 , Amirmohammad Moradpour3 , Seyyed Hamidreza Aboutorabzadeh1 , Sina Samieirad * 4
, Sahand Samieirad1 , Iman Shiezadeh2 , Omid Alizadeh3 , Amirmohammad Moradpour3 , Seyyed Hamidreza Aboutorabzadeh1 , Sina Samieirad * 4
1- Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
3- Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Department of Otolaryngology, Qaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran ,samieiradsina@gmail.com
2- Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
3- Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Department of Otolaryngology, Qaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran ,
Abstract: (323 Views)
Orthognathic surgery, a pivotal treatment for patients with significant facial aesthetic and occlusal concerns, traditionally involves a phased approach comprising preoperative orthodontics, surgery, and postoperative orthodontic treatment. However, the extended duration of conventional methods often leads to patient dissatisfaction. In response, the surgery-first approach (SFA) has emerged as an alternative, aiming to streamline treatment and reduce complexity. This case report explores the implementation of the SFA without preoperative orthodontics, focusing on its integration with intermaxillary fixation (IMF) screws. A 25-year-old male presented with severe mandibular retrognathia and facial asymmetry. The radiographic evaluation confirmed the skeletal discrepancy, prompting a surgical solution. Utilizing three-dimensional (3D) planning software, LeFort I osteotomy for maxillary advancement and bilateral sagittal split osteotomy (BSSO) for mandibular setback was planned. IMF screws were strategically placed to stabilize the maxillomandibular complex intraoperatively. Immediate postoperative orthodontic adjustments-initiated dentition alignment and leveling. Regular follow-up ensured treatment progress and stability. The use of IMF screws in the surgery-first approach facilitated precise surgical movements, accelerated treatment timelines, and enhanced patient comfort. This adjunctive technique represents a promising avenue for improving surgical precision and patient outcomes in orthognathic surgery. Further research is warranted to explore the long-term stability and broader applicability of this approach across diverse patient populations.
References
1. Saint-Cyr M, Wong C, Schaverien M, Mojallal A, Rohrich RJ. The perforasome theory: vascular anatomy and clinical implications. Plast Reconstr Surg 2009 Nov; 124(5): 1529-44. [DOI:10.1097/PRS.0b013e3181b98a6c]
2. Kannan RY. The internal mammary artery perforator flap and its subtypes in the reconstruction of median sternotomy wounds. J Thorac Cardiovasc Surg 2016 Jul; 152(1): 264-68. [DOI:10.1016/j.jtcvs.2016.01.053]
3. Yu P, Roblin P, Chevray P. Internal mammary artery perforator flap (IMAP) for tracheostoma reconstruction. Head & Neck 2006; 28(8): 723-9. [DOI:10.1002/hed.20386]
4. Lecours C, Saint-Cyr M, Wong C, Bernier C, Mailhot E, Tardif M, Chollet A. Freestyle pedicle perforator flaps: clinical results and vascular anatomy. Plast Reconstr Surg 2010 Nov; 126(5): 1589-603. [DOI:10.1097/PRS.0b013e3181f02ee3]
5. Wong C, Saint-Cyr M, Rasko Y, Mojallal A, Bailey S, Myers S, Rohrich RJ. Three- and four-dimensional arterial and venous perforasomes of the internal mammary artery perforator flap. Plast Reconstr Surg 2009 Dec; 124(6): 1759-69. [DOI:10.1097/PRS.0b013e3181bf815f]
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