Surgical Science > Vol.5 No.12, December 2014

Mehdi Deylami Pour¹, Hamid Karimi^2,3*, Amir-Hossein Deilami-Pour⁴, Sara Deylami-Pour⁵

¹Plastic Surgery Private Practice, Tehran, Iran.
²Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran.
³Plastic Surgery Department, Hazrat Fatemeh Hospital, Tehran, Iran.
⁴Azad Medical University, Tehran, Iran.
⁵Dental School, University of Nevada, Las Vegas, USA.

Background: Correction of long face and chin retrusion has a significant effect on facial aesthetic and symmetry. Bimaxillary (Bimax.) Operation has been performed for long face and bimaxillary dentoalveolar protrusion. But bimaxillary surgery cannot address all of complex deformity of mandible. The new technique using horizontal chin bar can treat mandibular dentoalveolar protrusion and chin retrusion in one setting. Objectives: To evaluate the results of mandible segmental osteotomy and jumping genioplasty; To illustrate the versatility and the ease of this procedure and to confirm the good to excellent clinical results obtained with minimal complications. Design: Retrospective study setting, all of the patients of university hospital and private practice who seek medical attention for long face and retruded (and/or deviated) chin were included in the study. Patients and surgeons satisfaction were evaluated. Results: 45 patients, aged 19 - 30 years (mean age, 24 ± 6 years) underwent the creation of a horizontal chin bar (4 - 7 mm wide) as an axis for two opposite bone movement (and a place for fixation) of mandibular dentoalveolar segment and lower chin segment [segmental lower jaw (Kolle’s) operation and genioplasty], and/or with concomitant Bimax. operation. The mean chin advancement was 8 mm (4 - 10 mm). Average setback for mandible was 3 mm (2 - 6 mm). No bone resorption was identified. No permanent nerve paresthesia was noted. There was one case of the bar fracture due to narrowness of the bar. 37 patients were highly satisfied and 8 were satisfied with the results. There was no dissatisfaction in our patients and surgeons. Conclusion: For long face and retruded chin one of the best treatments is horizotal chin bar method with very good long-term results. EBM: Level IV.

Long Face, Bimaxillary Surgery, Genioplasty, Segmental Osteotomy

Pour, M. , Karimi, H. , Deilami-Pour, A. and Deylami-Pour, S. (2014) Horizontal Chin Bar. Surgical Science, 5, 548-554. doi: 10.4236/ss.2014.512084.