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Influence of maxillary advancement surgery on skeletal and soft-tissue changes in the nose — a retrospective cone-beam computed tomography study

Overview of attention for article published in Head & Face Medicine, July 2015
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Title
Influence of maxillary advancement surgery on skeletal and soft-tissue changes in the nose — a retrospective cone-beam computed tomography study
Published in
Head & Face Medicine, July 2015
DOI 10.1186/s13005-015-0080-y
Pubmed ID
Authors

Andreas F. Hellak, Bernhard Kirsten, Michael Schauseil, Rolf Davids, Wolfgang M. Kater, Heike M. Korbmacher-Steiner

Abstract

Surgical correction of skeletal maxillary retroposition is often associated with changes in the morphology of the nose. Unwanted alar flaring of the nose is observed in many cases. The aim of the present study was therefore to investigate the influence of surgical advancement of the maxilla on changes in the soft-tissue morphology of the nose. Having a coefficient that allows prediction of change in the nasal width in Caucasian patients after surgery would be helpful for treatment planning. All 33 patients included in this retrospective study were of Caucasian descent and had skeletal Class III with maxillary retrognathia. They were all treated with maxillary advancement using a combination of orthodontic and maxillofacial surgery methods. Two cone-beam computed tomography (CBCT) datasets were available for all of the study's participants (16 female, 17 male; age 24.3 ± 10.4 years): the first CBCT imaging was obtained before the planned procedure (T0) and the second 14.1 ± 6.4 months postoperatively (T1). Morphological changes were recorded three-dimensionally using computer-aided methods (Mimics (Materialise NV, Leuven/Belgium), Geomagic (Geomagics, Morrisville/USA)). Statistical analysis was carried out using SPSS 21 for Mac. The mean sagittal advancement of the maxilla was 5.58 mm. The width of the nose at the alar base (Alb) changed by a mean of + 2.59 mm (±1.26 mm) and at the ala (Al) by a mean of + 3.17 mm (±1.32 mm). Both of these changes were statistically highly significant (P = 0.000). The increase in the width of the nose corresponded to approximately half of the maxillary advancement distance in over 80 % of the patients. The nasolabial angle declined by an average of -6.65° (±7.71°). Maxillary advancement correlates with a distinct morphological change in nasal width. This should be taken into account in the treatment approach and in the information provided to patients.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 74 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 1%
Unknown 73 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 16%
Student > Doctoral Student 12 16%
Student > Postgraduate 11 15%
Student > Ph. D. Student 9 12%
Student > Bachelor 5 7%
Other 11 15%
Unknown 14 19%
Readers by discipline Count As %
Medicine and Dentistry 51 69%
Nursing and Health Professions 3 4%
Social Sciences 1 1%
Biochemistry, Genetics and Molecular Biology 1 1%
Materials Science 1 1%
Other 1 1%
Unknown 16 22%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 July 2015.
All research outputs
#14,818,336
of 22,816,807 outputs
Outputs from Head & Face Medicine
#119
of 334 outputs
Outputs of similar age
#144,359
of 262,224 outputs
Outputs of similar age from Head & Face Medicine
#6
of 8 outputs
Altmetric has tracked 22,816,807 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 334 research outputs from this source. They receive a mean Attention Score of 2.1. This one has gotten more attention than average, scoring higher than 62% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 262,224 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.