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Facial Contouring in Orthognathic Surgery: The Role of Facial Implants.

Craniomaxillofacial trauma & reconstruction 2026 Vol.19(1) p. 2

Brito GC, de Moraes M, Faverani L, Olate S

PMC 전문 ↗ 원문 ↗ DOI ↗

관련 도메인

안면윤곽술 Facial Bone Contouring 광대뼈 Zygoma

Abstract

Orthognathic surgery restores functional balance and facial esthetics in patients with dentofacial deformities. The use of adjunctive facial implants-made from materials such as porous polyethylene, titanium, or polyetheretherketone (PEEK)-has increased to enhance contour and projection, although standardized guidelines for their selection and integration remain scarce. Following PRISMA-ScR guidelines, a systematic search of PubMed, Scopus, Embase, and LILACS identified studies reporting facial implants placed concomitantly with orthognathic surgery. Eligible studies included case reports, case series, observational studies, clinical trials, and reviews involving human patients, without language or date restrictions. Seventeen studies published between 1998 and 2025 met the inclusion criteria, comprising retrospective and prospective designs, case series, and one technical note. Implants were used in the malar, infraorbital, paranasal, chin, mandibular body, and angle regions. Materials included PEEK, porous polyethylene, silicone, hydroxyapatite, polymethylmethacrylate, and titanium. PEEK was mainly used for patient-specific implants, while porous polyethylene was commonly used as stock implants. Follow-up time, outcome reporting, and study design varied widely, reflecting substantial methodological heterogeneity and predominantly observational evidence. As a result, outcomes were primarily reported qualitatively, limiting comparative assessment and long-term inference. Overall, the available literature suggests that alloplastic facial implants may serve as useful adjuncts to orthognathic surgery for contour enhancement, with outcomes influenced by implant design, surgical expertise, fixation, and soft tissue conditions. However, the current evidence base remains limited, underscoring the need for standardized outcome measures, comparative studies, and longer follow-up to better inform clinical decision-making and future research.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 orthognathic surgery 안면윤곽술 dict 4
시술 facial contouring 안면윤곽술 dict 1
해부 malar 광대뼈 dict 1

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이 논문이 참조한 문헌 40

외부 PMID 28건 (DB 미수집)

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