Dudağın Yeniden Konumlandırılması Operasyonu Dişeti Gülümsemesi Tedavisinde Gerçekten Etkili Mi?

Amaç: Modifiye dudağın yeniden konumlandırılması (MDYK) operasyonu kolay uygulanabilir olması, çok az yan etkisinin olması ve yüksek hasta memnuniyeti nedeniyle hiperaktif üst dudağın sebep olduğu Gummy Smile’ın (GS) tedavisinde son zamanlarda çok sık kullanılmaktadır. Bu çalışmanın amacı GS tedavisinde kullanılan MDYK operasyonunun 6 aylık dönemde etkisinin geçip geçmediğini değerlendirmektir. Materyal ve Metot: Bu çalışmada gülümseme esnasında dişetinin fazla görünmesinden şikayetçi olan 16 bayan hasta MDYK operasyonu ile tedavi edildi. Operasyon öncesi ve operasyondan 3-6 ay sonra gülümseme esnasında görünen dişeti miktarları ölçüldü. Bulgular: Yapılan ölçüm ve analize göre operasyondan önce ve operasyondan sonraki 3-6. ayda 16 hastada gülme esnasında ortalama görünen dişeti miktarı sırasıyla 4.93±0.85 mm, 1.06±0,98 mm ve 2.87±0.8 mm olarak hesaplandı. Operasyon sonrası dişetindeki ortalama azalma miktarı ise operasyondan sonraki 3. ve 6. ayda sırasıyla 3.75±0.93 ve 2.06±0.68 mm olarak tespit edildi. Sonuç: Bu çalışmanın sonucuna dayanarak; MDYK operasyonunun gülme esnasında görünen dişeti miktarı üzerine etkisinin zamanla azaldığını söyleyebiliriz. Ancak araştırmanın az sayıda hasta üzerinde yapılmış olması, bu konu hakkında kesin sonuçlara varmamızı engellemektedir. Biz yazarlar olarak buna benzer çalışmaların hasta sayısının fazla olduğu gruplar üzerinde yapılmasını ve operasyonun daha etkili olması için, dudak hareketlerinin kısıtlanması amacıyla operasyondan 2 hafta önce üst dudağı yukarı kaldıran kaslara Botulinum Toksin uygulayarak yeni çalışmalar yapılmasını önermekteyiz.

Anahtar Kelimeler:

Dişeti gülümsemesi, modifiye dudağın yeniden konumlandırılması operasyonu, , dişetinin aşırı derecede görünmesi

Is lip repositioning operation actually effective in treatment of gummy smile?

Background: Modified lip repositioning operation (MLR) are being used very frequently in recent times for treating Gummy Smile (GS) caused by hyperactive upper lip as they are easily applicable, have very few side effects and high patient satisfaction. The purpose of this study is to assess whether or not the effects of MLR operation that is used in GS treatment is temporary. Methods: In this study, 16 female patients who had complaints of excessive visibility of their gums while smiling were treated by MLR operations. The amounts of visibility of the gums were measured before the operation and in the 3rd and 6th months following the operation.Results: According to the measurements that were made and analysis that was carried out, the mean amounts of visible gums before the operation, 3 months after the operation and 6 months after the operation among the 16 patients were respectively 4.93±0.85 mm, 1.06±0.98 mm and 2.87±0.8 mm. The mean amount of reduction in the amounts of the visible gums after the operation were respectively 3.75±0.93 mm and 2.06±0.68 mm for the 3rd and 6th months after the operation. Conclusions: Based on the results of this study, we may state that the effects of the MLR operation on the amount of visible gums while smiling decrease in time. However, the fact that the study was carried out on a few patients prevents us from reaching precise conclusions about this topic. As the authors, we recommend that similar studies are carried out with larger samples, and for the purpose of restricting lip movements, Botulinum Toxin is applied 2 weeks before the operation.

Keywords:

Gummy Smile, modified lip repositioning operation,

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