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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Italian Journal of Maxillofacial Surgery 2009 December;20(3):181-3
Reduction and augmentation genioplasty in orthognathic surgery
Ungari C., Filiaci F., Torre U., Agrillo A.
Department of Maxillo-Facial Surgery, La Sapienza University, Rome, Italy
Orthognathic surgery is indicated in craniofacial malformations in order to re-establish occlusal relations through the placement of maxillo-mandibular bone bases, allowing the balance of stomatognathic system and its neuromuscular and articular components. Genioplasty has esthetic aims and finds its application in craniofacial malformations, especially in teeth-skeletal ones and mandibular asymmetry. There are two kinds of genioplasty: reduction and augmentation. The choice of the surgical technique to adopt depends on the malformation. Complications related to this surgery are: alloplastic implants migration in augmentation genioplasty with prosthesis; infections and abscesses; falling of plaques and screws used to fix the replaced fragment. In this study, the authors, make a retrospective evaluation of patients undergone genioplastic surgery, treated in the Maxillo-Facial ward of the Umberto I Policlinic in Rome.