ArticleFrontiers in oral health2026
Quality assurance in orthognathic surgery using Brons-Mulié's soft tissue analysis, Nakamura's asymmetry index and a simple Enface analysis.
Article in Frontiers in oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Corrections and comments
- Erratum issued
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8 authors.
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Abstract
The aim of orthognathic surgery should not only focus on correcting malocclusion alone, but also on achieving adequate facial aesthetics with a harmonious facial profile. However, it is often difficult to measure success of orthognathic surgery objectively due to the large number of parameters to be considered. Methods: For objective assessment of success in orthognathic surgery, Brons-Mulié profile analysis, Nakamura's asymmetry index and a simple enface analysis were performed pre- and postoperatively. Comparative variance-based analysis of the different dimensions of the three methods were performed in order to analyze the variability of the individual parameters around their optimal value. Results: A total of 128 patients who underwent bimaxillary surgery between 2014 and 2019 were included in the study. All parameters showed a constant or reduced variance around their optimal value after orthognathic surgery. A significant reduction of the variance as an expression of surgical success ( Conclusions: The methodology used allows subjective aesthetic appearance to be visualized in an objective procedure. It can therefore be used as a valuable tool for preoperative surgical planning and for postoperative quality assurance in orthognathic surgery.
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