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DOI: 10.1055/s-0040-1709175
Premaxillary Deficiency: Techniques in Augmentation and Reconstruction
Publication History
Publication Date:
06 May 2020 (online)
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Abstract
Progressive premaxillary retrusion is a common sequela of the facial aging process. In most cases, this manifests with central maxillary recession. Central maxillary insufficiency is also commonly encountered within certain ethnic communities, or in cleft lip nasal deformity, and may represent a challenge for the plastic and reconstructive surgeon attempting correction in the setting of facial contouring, rhinoplasty, or reconstruction following oncologic resection or trauma. Aesthetically, premaxillary retrusion may be coincident with an acute nasolabial angle and ptotic nasal tip. Minor deformities may be addressed with use of either alloplastic implants, autogenous tissue, lipotransfer, or injectable filler. Larger composite defects may require reconstruction with implementation of free tissue transfer. Herein, we describe techniques that aim to augment, or reconstruct, the premaxillary region in the context of nasal deformity, osseous resorption, or composite maxillofacial defects.
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References
- 1 Cook TA, Wang TD, Brownrigg PJ, Quatela VC. Significant premaxillary augmentation. Arch Otolaryngol Head Neck Surg 1990; 116 (10) 1197-1201
- 2 Romo III T, Abraham MT. The ethnic nose. Facial Plast Surg 2003; 19 (03) 269-278
- 3 Webster RC. Advances in surgery of the tip: intact rim cartilage techniques and the tip-columella-lip esthetic complex. Otolaryngol Clin North Am 1975; 8 (03) 615-644
- 4 Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery?. Am J Orthod Dentofacial Orthop 2002; 122 (01) 27-37 , discussion 37–38
- 5 Thomas JR, Tardy Jr ME, Przekop H. Uniform photographic documentation in facial plastic surgery. Otolaryngol Clin North Am 1980; 13 (02) 367-381
- 6 Gonzalez-Ulloa M. A quantum method for the appreciation of the morphology of the face. Plast Reconstr Surg 1964; 34: 241-246
- 7 Legan HL, Burstone CJ. Soft tissue cephalometric analysis for orthognathic surgery. J Oral Surg 1980; 38 (10) 744-751
- 8 Naini FB, Donaldson AN, McDonald F, Cobourne MT. Assessing the influence of lower facial profile convexity on perceived attractiveness in the orthognathic patient, clinician, and layperson. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114 (03) 303-311
- 9 Dann III JJ, Fonseca RJ, Bell WH. Soft tissue changes associated with total maxillary advancement: a preliminary study. J Oral Surg 1976; 34 (01) 19-23
- 10 San Miguel Moragas J, Van Cauteren W, Mommaerts MY. A systematic review on soft-to-hard tissue ratios in orthognathic surgery part I: maxillary repositioning osteotomy. J Craniomaxillofac Surg 2014; 42 (07) 1341-1351
- 11 Cinelli JA. Correction of combined elongated nose and recessed naso-labial angle. Plast Reconstr Surg Transplant Bull 1958; 21 (02) 139-142
- 12 Guerrero-Santos J. Cosmetic repair of the acute columellar-lip angle. Plast Reconstr Surg 1973; 52 (03) 246-249
- 13 Caronni EP. A new method to correct the nasolabial angle in rhinoplasty. Plast Reconstr Surg 1972; 50 (04) 338-340
- 14 Sheen JH, Sheen A. Aesthetic Rhinoplasty. St Louis, MO: CV Mosby Co; 1987: 283-296
- 15 Fanous N, Yoskovitch A. Premaxillary augmentation: adjunct to rhinoplasty. Plast Reconstr Surg 2000; 106 (03) 707-712
- 16 Fanous N, Yoskovitch A. Premaxillary augmentation for central maxillary recession: an adjunct to rhinoplasty. Facial Plast Surg Clin North Am 2002; 10 (04) 415-422
- 17 Whitaker LA. Aesthetic augmentation of the malar-midface structures. Plast Reconstr Surg 1987; 80 (03) 337-346
- 18 Park H, Chun KW, Kye MS, Dhong ES, Yoon ES. Midface augmentation using bony segments obtained from sagittal splitting angle ostectomy in Asians. Plast Reconstr Surg 2008; 121 (02) 578-586
- 19 Foda HM. Mersilene mesh in premaxillary augmentation. Aesthetic Plast Surg 2005; 29 (03) 169-173
- 20 Cárdenas JC, Carvajal J. Refinement of rhinoplasty with lipoinjection. Aesthetic Plast Surg 2007; 31 (05) 501-505
- 21 Staffel G, Shockley W. Nasal implants. Otolaryngol Clin North Am 1995; 28 (02) 295-308
- 22 Sclafani AP, Romo III T. Biology and chemistry of facial implants. Facial Plast Surg 2000; 16 (01) 3-6
- 23 Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 2010; 125 (02) 40e-49e
- 24 Sajjadian A, Naghshineh N, Rubinstein R. Current status of grafts and implants in rhinoplasty: part II. Homologous grafts and allogenic implants. Plast Reconstr Surg 2010; 125 (03) 99e-109e
- 25 American Society of Plastic Surgeons. Plastic Surgery Statistics Report. Arlington Heights, IL: American Society of Plastic Surgeons; 2014
- 26 Tanaka Y. Oriental nose occidentalization and perinasal shaping by augmentation of the underdeveloped anterior nasal spine. Plast Reconstr Surg Glob Open 2014; 2 (08) e197
- 27 Jasin ME. Nonsurgical rhinoplasty using dermal fillers. Facial Plast Surg Clin North Am 2013; 21 (02) 241-252
- 28 Pilsl U, Rosmarin W, Anderhuber F. The premaxillary space: a location for filler injection?. Dermatol Surg 2014; 40 (03) 301-304
- 29 Daniel RK, Letourneau A. Rhinoplasty: nasal anatomy. Ann Plast Surg 1988; 20 (01) 5-13
- 30 Saban Y, Andretto Amodeo C, Bouaziz D, Polselli R. Nasal arterial vasculature: medical and surgical applications. Arch Facial Plast Surg 2012; 14 (06) 429-436
- 31 Moon HJ. Injection rhinoplasty using filler. Facial Plast Surg Clin North Am 2018; 26 (03) 323-330
- 32 Urdiales-Gálvez F, Delgado NE, Figueiredo V. , et al. Treatment of soft tissue filler complications: expert consensus recommendations. Aesthetic Plast Surg 2018; 42 (02) 498-510
- 33 Thanasarnaksorn W, Cotofana S, Rudolph C, Kraisak P, Chanasumon N, Suwanchinda A. Severe vision loss caused by cosmetic filler augmentation: case series with review of cause and therapy. J Cosmet Dermatol 2018; 17 (05) 712-718
- 34 Jasin ME. Nonsurgical rhinoplasty using dermal fillers. Facial Plast Surg Clin North Am 2013; 21 (02) 241-252
- 35 Kurkjian TJ, Ahmad J, Rohrich RJ. Soft-tissue fillers in rhinoplasty. Plast Reconstr Surg 2014; 133 (02) 121e-126e
- 36 Monreal J. Fat grafting to the nose: personal experience with 36 patients. Aesthetic Plast Surg 2011; 35 (05) 916-922
- 37 Muzaffar AR, Adams Jr WP, Hartog JM, Rohrich RJ, Byrd HS. Maxillary reconstruction: functional and aesthetic considerations. Plast Reconstr Surg 1999; 104 (07) 2172-2183 , quiz 2184
- 38 Futran ND, Wadsworth JT, Villaret D, Farwell DG. Midface reconstruction with the fibula free flap. Arch Otolaryngol Head Neck Surg 2002; 128 (02) 161-166
- 39 Kildal M, Wei FC, Chang YM. Free vascularized bone grafts for reconstruction of traumatic bony defects of mandible and maxilla. World J Surg 2001; 25 (08) 1067-1074
- 40 Ferri J, Caprioli F, Peuvrel G, Langlois JM. Use of the fibula free flap in maxillary reconstruction: a report of 3 cases. J Oral Maxillofac Surg 2002; 60 (05) 567-574
- 41 Bianchi B, Ferri A, Ferrari S, Copelli C, Boni P, Sesenna E. Iliac crest free flap for maxillary reconstruction. J Oral Maxillofac Surg 2010; 68 (11) 2706-2713
- 42 Swartz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg 1986; 77 (04) 530-545
- 43 Villaret DB, Futran NA. The indications and outcomes in the use of osteocutaneous radial forearm free flap. Head Neck 2003; 25 (06) 475-481
- 44 Vinzenz KG, Holle J, Würinger E, Kulenkampff KJ, Plenk Jr H. Revascularized composite grafts with inserted implants for reconstructing the maxilla--improved flap design and flap prefabrication. Br J Oral Maxillofac Surg 1998; 36 (05) 346-352
- 45 McCarthy CM, Cordeiro PG. Microvascular reconstruction of oncologic defects of the midface. Plast Reconstr Surg 2010; 126 (06) 1947-1959
- 46 Aviv JE, Urken ML, Vickery C, Weinberg H, Buchbinder D, Biller HF. The combined latissimus dorsi-scapular free flap in head and neck reconstruction. Arch Otolaryngol Head Neck Surg 1991; 117 (11) 1242-1250
- 47 Kakibuchi M, Fujikawa M, Hosokawa K. , et al. Functional reconstruction of maxilla with free latissimus dorsi-scapular osteomusculocutaneous flap. Plast Reconstr Surg 2002; 109 (04) 1238-1244 , discussion 1245
- 48 Taylor GI, Townsend P, Corlett R. Superiority of the deep circumflex iliac vessels as the supply for free groin flap: experimental work. Plast Reconstr Surg 1979; 64: 595-604
- 49 Sanders R, Mayou BJ. A new vascularized bone graft transferred by microvascular anastomosis as a free flap. Br J Surg 1979; 66 (11) 787-788
- 50 Brown JS, Jones DC, Summerwill A. , et al. Vascularized iliac crest with internal oblique muscle for immediate reconstruction after maxillectomy. Br J Oral Maxillofac Surg 2002; 40 (03) 183-190
- 51 Urken ML, Vickery C, Weinberg H, Buchbinder D, Lawson W, Biller HF. The internal oblique-iliac crest osseomyocutaneous free flap in oromandibular reconstruction. Report of 20 cases. Arch Otolaryngol Head Neck Surg 1989; 115 (03) 339-349
- 52 Boyd JB, Rosen I, Rotstein L. , et al. The iliac crest and the radial forearm flap in vascularized oromandibular reconstruction. Am J Surg 1990; 159 (03) 301-308
- 53 Rogers SN, Lakshmiah SR, Narayan B. , et al. A comparison of the long-term morbidity following deep circumflex iliac and fibula free flaps for reconstruction following head and neck cancer. Plast Reconstr Surg 2003; 112 (06) 1517-1525 , discussion 1526–1527
- 54 Blackwell KE, Urken ML. Iliac crest free flap. Facial Plast Surg 1996; 12 (01) 35-43
- 55 Howard MA, Davison SP, Piorkowski JR. Iliac crest donor defect: avoiding the limp. Plast Reconstr Surg 2004; 113 (02) 659-663
- 56 Chang YM, Coskunfirat OK, Wei FC, Tsai CY, Lin HN. Maxillary reconstruction with a fibula osteoseptocutaneous free flap and simultaneous insertion of osseointegrated dental implants. Plast Reconstr Surg 2004; 113 (04) 1140-1145
- 57 Smith RB, Funk GF. Severe trismus secondary to periosteal osteogenesis after fibula free flap maxillary reconstruction. Head Neck 2003; 25 (05) 406-411
- 58 Okay DJ, Buchbinder D. Implant-assisted prosthetic reconstruction after tumor ablation. In: Bagheri S, Bell RB, Khan H. , eds. Current Therapy in Oral and Maxillofacial Surgery. St Louis, MO: Elsevier-Saunders; 2012: 592-603
- 59 Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, Robbins KT. , et al. Cummings Otolaryngology. 6th ed. St. Louis, MI: Elsevier Mosby; 2015