Evidence map›Paper›PMID 40358754›Full record

ArticleOral and maxillofacial surgery2025

Assessment of the prevalence of nasal deviation in patients requiring orthognathic surgery: association with maxillary, mandibular, or chin asymmetry.

Federico Hernández-Alfaro, Oscar Saavedra, Gonzalo Botella-Casas, Mahdi Ghuloom, Maria Giralt-Hernando, Adaia Valls-Ontañón

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Article in Oral and maxillofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Federico Hernández-AlfaroDepartment of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Oscar SaavedraInstitute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
Gonzalo Botella-CasasInstitute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
Mahdi GhuloomInstitute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
Maria Giralt-HernandoDepartment of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Adaia Valls-OntañónDepartment of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. avalls@institutomaxilofacial.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIdentifying nasal deviation in patients requiring orthognathic surgery is critical for developing an accurate treatment plan, particularly in the axial plane. This study aimed to evaluate the prevalence and degree of nasal and septal deviation in patients requiring orthognathic surgery, and to assess their relationship with maxillary, mandibular, and chin asymmetries, as well as dento-skeletal class. MATERIAL AND

methodsA retrospective study was conducted on patients who required orthognathic surgery between July 2020 and February 2021. Exclusion criteria included congenital craniofacial anomalies, history of mandibular condylar hyperplasia, or prior rhino-septoplasty procedures.

resultsOf the 103 patients studied, 97.1% exhibited some degree of nasal deviation, and all presented with septal deviation. Nasal septum deviation correlated significantly with nasal tip deviation (r = 0.44, p < 0.001) and dorsum deviation (r = 0.41, p < 0.001). A combination of nasal, maxillary, mandibular, and chin deviations was present in 77.3%, 83.5%, and 88.3% of patients, respectively. Significant correlations were found between the directions of maxillary (r = 0.21, p = 0.032), mandibular (r = 0.25, p = 0.012), and chin deviations (r = 0.19, p = 0.050).

conclusionsThis study highlights that nasal and septal deviations are highly prevalent in patients requiring orthognathic surgery, and their accurate diagnosis is essential for successful orthognathic diagnosis and surgical planning. These findings support the inclusion of nasal assessments in the treatment plans for orthognathic surgery patients.

Indexed as

Facial AsymmetryMandibleMaxillaNoseOrthognathic Surgical ProceduresAdolescentAdultChinFemaleHumansMaleMiddle AgedNasal SeptumPrevalenceRetrospective StudiesYoung AdultChinCone-beam computed tomographyFacial asymmetryMandibleMaxillaNasal septumNoseOrthognathic surgery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.