Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note

Mabika Bredel Djeri Djor; Aziz Zakaria; Garango Allaye; Ngoua Lysette; Lahmiti Saad; Mansouri Nadia Hattab

doi:doi:10.11648/j.ijcoms.20180402.12

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Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note

Mabika Bredel Djeri Djor, Aziz Zakaria, Garango Allaye, Ngoua Lysette, Lahmiti Saad, Mansouri Nadia Hattab

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 4, Issue 2)

Received: 11 September 2018 Accepted: 15 October 2018 Published: 10 November 2018

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Abstract

The purpose of this work is to describe the technique of double-stage genioplasty and to bring out its interest in the important retromicrogenia l and its feasibility in the context. The study provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on two patients who have benefited a double-stage genioplasty. These are two clinical cases of retromicrogenia. The first (patient1) is subject to temporo-mandibular ankylosis, and the second (patient2) is subject to congenital with growth disorders of the dental arch, a tendency to class-II skeletal patterns, pro-alveoli, swallowing problems, and occurrence of recurrent mouth infections due to poor oral hygiene. They were treated, respectively, with double-stage genioplasty only and a combined procedure of double-stage genioplasty associated with Wassmund osteotomy at the same time. The patients were female, young on average 24 years of age. The average duration of the intervention was 1h10 minutes; the mandibular advances were on average 8mm per fragment. The dental articulation and the projection of the chin were satisfactory. Retromicrogenia is a rare pathology, the source of functional and morphologic complications. “Double-stage” advancement genioplasty is the treatment of choice. It allows a necessary advancement for a good reflection of the chin, and remains a simple technique, minimal, and ensuring good aesthetic and functional results over the long term.

Published in	International Journal of Clinical Oral and Maxillofacial Surgery (Volume 4, Issue 2)
DOI	10.11648/j.ijcoms.20180402.12
Page(s)	42-47
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Genioplasty, Major Retromicrogenia, Double Stage Osteotomy, Projection of Chin

References

[1]	Gola R. Mentoplastie fonctionnelle et esthétique. Rappel anatomiques et technique. In: Chirurgie esthétique et fonctionnelle de la face. Springer verlag; 2005. p. 49–66.
[2]	Rojas R, et al. Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea, Int J Oral Maxillofac Surg (2017), https://doi org/10.1016/j. ijom.2017.10.008
[3]	Garcia Vega JR, de la Plata MM, Galindo N, Navarro M, Dı´ez D, Lancara F. Genioglossus muscle advancement: a modification of the conventional technique. J Craniomaxillofac Surg 2014;42:239–44.
[4]	Santos Junior JF, Abraha˜o 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 Otorhinolaryngol 2007; 73: 480–6. 9. Garcıa´v.
[5]	Vaira LA, et al. Alveolar nerve impairment following bilateral sagittal split ramus osteotomy and genioplasty. J Oral Maxillofac Surg Med Pathol (2016), http://dx.doi.org/10.1016/j. ajoms.2016.12.003.
[6]	H. Drissi Qeytoni et al. Les génioplasties: techniques et applications Rev Stomatol Chir Maxillofac 2007; 108:441-450.
[7]	M. Raberina,*, S. Mauhouratb. La chirurgie orthognathique: particularités des préparations orthodontico-chirurgicales. Rev Stomatol Chir Maxillofac Chir Orale 2014; 115:196-207.
[8]	Casteigt J, Faure J, Labarrère H, Treil J. Symbiose chirurgico-occluso-orthodontique dans les dysmorphies maxillofaciale EMC (Elsevier SAS, Paris). Encycl Méd Chir 2006 [23-499-A-10].
[9]	Arnett GW, Gunson MJ. Esthetic treatment planning for ortho-gnathic surgery. J Clin Orthod 2010; 44:196–200.
[10]	Riley RW, Powell NB, Guilleminault C. Current surgical concepts for treating obstructive sleep apnea syndrome. JOral Maxillofac Surg 1987; 45:149–57.
[11]	Bettega G, Pepin J-L, Orliaguet O, Levy P, Raphael B. Chirurgie et syndrome d’apnées obstructives du sommeil: indications et précautions. Rev Stomatol Chir Maxillofac 2002; 103:181–7.
[12]	Gola R, Cheynet F, Guyot L, Richard O. Analyse céphalométrique fonctionnelle et esthétique de profil. Encycl. Med Chir. (Elsevier, Paris), Odontologie/orthopédie dentofaciale, (23-455-E-22), 2005: 1–23.
[13]	Gola R, Cheynet F, Guyot L, Richard O (2004) Bases fondamentales de l’analyse céphalométrique de profil fonctionnelle et esthétique. Rev Stomatol Chir Maxillofac 105: 323-8
[14]	Richter M, Mossaz C, Laurent F, Goudot P. Chirurgie correctrice des malformations ou «dysmorphies» maxillomandibulaires: approche diagnostique et plan de traitement. Encycl Méd Chir. (Elsevier, Paris), Stomatologie, (22-066-D-10), 1998; 1–16.
[15]	Hwang K, Lee WJ, Song YB, Chung IH. Vulnerability of the inferior alveolar nerve and mental nerve during genioplasty: an anatomic study. J Craniofac Surg 2005; 16:10–4.
[16]	Ricbourg B, Levignac, et al. Vascularisation du menton osseux. In: Le menton. Paris: Masson; 1985. p. 71–5.
[17]	Mahler D. Chin augmentation. A retrospective study. Ann Plast Surg 1982; 8:469–73.
[18]	Malher D. Chin augmentation. A retrospective study. Ann Plast Surg 1982; 8:469–73.
[19]	Bouletreau P, Bouguila J. Profilopastie. Orthod Fr 2011; 82: 201–6.
[20]	Larbaoui-Boumendjel S, Princ G, Benoist M. Les genioplasties. Indications et modalités thérapeutiques dans les dysmorphoses dentomaxillaires. Rev Stomatol Chir Maxillofac 1988; 89:127–31.
[21]	Acebal-Bianco F, Vuylsteke PL, Mommaerts MY, De Clercq CA. Perioperative complications in corrective facial orthopaedic surgery: a 5-year retrospective study. J Oral Maxillofac Surg; 2000; 58:754–60.
[22]	C. Jarrosson (1), P. Corcia (2), D. Goga (1). Évaluation du déficit sensitif du nerf alvéolaire inférieur après ostéotomie mandibulaire Rev Stomatol Chir Maxillofac, 2005; 106, 3: 139-145.

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APA Style

Mabika Bredel Djeri Djor, Aziz Zakaria, Garango Allaye, Ngoua Lysette, Lahmiti Saad, et al. (2018). Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note. International Journal of Clinical Oral and Maxillofacial Surgery, 4(2), 42-47. https://doi.org/10.11648/j.ijcoms.20180402.12

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ACS Style

Mabika Bredel Djeri Djor; Aziz Zakaria; Garango Allaye; Ngoua Lysette; Lahmiti Saad, et al. Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note. Int. J. Clin. Oral Maxillofac. Surg. 2018, 4(2), 42-47. doi: 10.11648/j.ijcoms.20180402.12

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AMA Style

Mabika Bredel Djeri Djor, Aziz Zakaria, Garango Allaye, Ngoua Lysette, Lahmiti Saad, et al. Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note. Int J Clin Oral Maxillofac Surg. 2018;4(2):42-47. doi: 10.11648/j.ijcoms.20180402.12

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@article{10.11648/j.ijcoms.20180402.12,
  author = {Mabika Bredel Djeri Djor and Aziz Zakaria and Garango Allaye and Ngoua Lysette and Lahmiti Saad and Mansouri Nadia Hattab},
  title = {Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {4},
  number = {2},
  pages = {42-47},
  doi = {10.11648/j.ijcoms.20180402.12},
  url = {https://doi.org/10.11648/j.ijcoms.20180402.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20180402.12},
  abstract = {The purpose of this work is to describe the technique of double-stage genioplasty and to bring out its interest in the important retromicrogenia l and its feasibility in the context. The study provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on two patients who have benefited a double-stage genioplasty. These are two clinical cases of retromicrogenia. The first (patient1) is subject to temporo-mandibular ankylosis, and the second (patient2) is subject to congenital with growth disorders of the dental arch, a tendency to class-II skeletal patterns, pro-alveoli, swallowing problems, and occurrence of recurrent mouth infections due to poor oral hygiene. They were treated, respectively, with double-stage genioplasty only and a combined procedure of double-stage genioplasty associated with Wassmund osteotomy at the same time. The patients were female, young on average 24 years of age. The average duration of the intervention was 1h10 minutes; the mandibular advances were on average 8mm per fragment. The dental articulation and the projection of the chin were satisfactory. Retromicrogenia is a rare pathology, the source of functional and morphologic complications. “Double-stage” advancement genioplasty is the treatment of choice. It allows a necessary advancement for a good reflection of the chin, and remains a simple technique, minimal, and ensuring good aesthetic and functional results over the long term.},
 year = {2018}
}

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TY  - JOUR
T1  - Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note
AU  - Mabika Bredel Djeri Djor
AU  - Aziz Zakaria
AU  - Garango Allaye
AU  - Ngoua Lysette
AU  - Lahmiti Saad
AU  - Mansouri Nadia Hattab
Y1  - 2018/11/10
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcoms.20180402.12
DO  - 10.11648/j.ijcoms.20180402.12
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 42
EP  - 47
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20180402.12
AB  - The purpose of this work is to describe the technique of double-stage genioplasty and to bring out its interest in the important retromicrogenia l and its feasibility in the context. The study provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on two patients who have benefited a double-stage genioplasty. These are two clinical cases of retromicrogenia. The first (patient1) is subject to temporo-mandibular ankylosis, and the second (patient2) is subject to congenital with growth disorders of the dental arch, a tendency to class-II skeletal patterns, pro-alveoli, swallowing problems, and occurrence of recurrent mouth infections due to poor oral hygiene. They were treated, respectively, with double-stage genioplasty only and a combined procedure of double-stage genioplasty associated with Wassmund osteotomy at the same time. The patients were female, young on average 24 years of age. The average duration of the intervention was 1h10 minutes; the mandibular advances were on average 8mm per fragment. The dental articulation and the projection of the chin were satisfactory. Retromicrogenia is a rare pathology, the source of functional and morphologic complications. “Double-stage” advancement genioplasty is the treatment of choice. It allows a necessary advancement for a good reflection of the chin, and remains a simple technique, minimal, and ensuring good aesthetic and functional results over the long term.
VL  - 4
IS  - 2
ER  -

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Author Information

Mabika Bredel Djeri Djor

Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
Aziz Zakaria

Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
Garango Allaye

Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
Ngoua Lysette

Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
Lahmiti Saad

Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
Mansouri Nadia Hattab

Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

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APA Style

Mabika Bredel Djeri Djor, Aziz Zakaria, Garango Allaye, Ngoua Lysette, Lahmiti Saad, et al. (2018). Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note. International Journal of Clinical Oral and Maxillofacial Surgery, 4(2), 42-47. https://doi.org/10.11648/j.ijcoms.20180402.12

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ACS Style

Mabika Bredel Djeri Djor; Aziz Zakaria; Garango Allaye; Ngoua Lysette; Lahmiti Saad, et al. Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note. Int. J. Clin. Oral Maxillofac. Surg. 2018, 4(2), 42-47. doi: 10.11648/j.ijcoms.20180402.12

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AMA Style

Mabika Bredel Djeri Djor, Aziz Zakaria, Garango Allaye, Ngoua Lysette, Lahmiti Saad, et al. Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note. Int J Clin Oral Maxillofac Surg. 2018;4(2):42-47. doi: 10.11648/j.ijcoms.20180402.12

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@article{10.11648/j.ijcoms.20180402.12,
  author = {Mabika Bredel Djeri Djor and Aziz Zakaria and Garango Allaye and Ngoua Lysette and Lahmiti Saad and Mansouri Nadia Hattab},
  title = {Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {4},
  number = {2},
  pages = {42-47},
  doi = {10.11648/j.ijcoms.20180402.12},
  url = {https://doi.org/10.11648/j.ijcoms.20180402.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20180402.12},
  abstract = {The purpose of this work is to describe the technique of double-stage genioplasty and to bring out its interest in the important retromicrogenia l and its feasibility in the context. The study provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on two patients who have benefited a double-stage genioplasty. These are two clinical cases of retromicrogenia. The first (patient1) is subject to temporo-mandibular ankylosis, and the second (patient2) is subject to congenital with growth disorders of the dental arch, a tendency to class-II skeletal patterns, pro-alveoli, swallowing problems, and occurrence of recurrent mouth infections due to poor oral hygiene. They were treated, respectively, with double-stage genioplasty only and a combined procedure of double-stage genioplasty associated with Wassmund osteotomy at the same time. The patients were female, young on average 24 years of age. The average duration of the intervention was 1h10 minutes; the mandibular advances were on average 8mm per fragment. The dental articulation and the projection of the chin were satisfactory. Retromicrogenia is a rare pathology, the source of functional and morphologic complications. “Double-stage” advancement genioplasty is the treatment of choice. It allows a necessary advancement for a good reflection of the chin, and remains a simple technique, minimal, and ensuring good aesthetic and functional results over the long term.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Retromicrogenia Surgery by Double-Stage Genioplasty: Technical Note
AU  - Mabika Bredel Djeri Djor
AU  - Aziz Zakaria
AU  - Garango Allaye
AU  - Ngoua Lysette
AU  - Lahmiti Saad
AU  - Mansouri Nadia Hattab
Y1  - 2018/11/10
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcoms.20180402.12
DO  - 10.11648/j.ijcoms.20180402.12
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 42
EP  - 47
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20180402.12
AB  - The purpose of this work is to describe the technique of double-stage genioplasty and to bring out its interest in the important retromicrogenia l and its feasibility in the context. The study provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on two patients who have benefited a double-stage genioplasty. These are two clinical cases of retromicrogenia. The first (patient1) is subject to temporo-mandibular ankylosis, and the second (patient2) is subject to congenital with growth disorders of the dental arch, a tendency to class-II skeletal patterns, pro-alveoli, swallowing problems, and occurrence of recurrent mouth infections due to poor oral hygiene. They were treated, respectively, with double-stage genioplasty only and a combined procedure of double-stage genioplasty associated with Wassmund osteotomy at the same time. The patients were female, young on average 24 years of age. The average duration of the intervention was 1h10 minutes; the mandibular advances were on average 8mm per fragment. The dental articulation and the projection of the chin were satisfactory. Retromicrogenia is a rare pathology, the source of functional and morphologic complications. “Double-stage” advancement genioplasty is the treatment of choice. It allows a necessary advancement for a good reflection of the chin, and remains a simple technique, minimal, and ensuring good aesthetic and functional results over the long term.
VL  - 4
IS  - 2
ER  -

Copy | Download