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Chen MWJ, Lum JL, Yong CW, Lai WMC, Wong RCW. Placing the maxilla in the most aesthetic sagittal position: validation of several reference lines in relation to the forehead shape. Int J Oral Maxillofac Surg 2024; 53:405-412. [PMID: 37996304 DOI: 10.1016/j.ijom.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 11/08/2023] [Accepted: 11/10/2023] [Indexed: 11/25/2023]
Abstract
The ideal sagittal position of the maxilla is highly subjective in orthognathic surgical treatment planning. There is no consensus on an analysis to predict the ideal sagittal position of the maxilla. The objective of this study was to determine the preferred maxillary position in relation to the forehead shape, in the Southern Chinese population. The maxilla position of eight patients was simulated based on Steiner's analysis (SA), glabella vertical (GV), Andrews' Element II (AE2), and the Barcelona reference (BR). The simulations were then used in an electronic survey, where respondents ranked the images for each patient from to 1-4 (most to least attractive). A total of 128 responses were collected from dental professionals and laypersons. The most preferred to the least preferred simulation was as follows (mean rank scores for the male and female patients in parenthesis): BR (males 2.06; females 1.98), GV (males 2.11; females 2.21), SA (males 2.59; females 2.40), and AE2 (males 3.24; females 3.41). There was no significant difference in the results according to the sex, age group, or profession of the respondents. The Barcelona reference and glabella vertical are useful in predicting the ideal maxillary position in patients with a flat forehead, and the Barcelona reference is the most preferred in patients with a rounded forehead.
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Affiliation(s)
- M W J Chen
- Faculty of Dentistry, National University of Singapore, Singapore; National University Centre for Oral Health, Singapore
| | - J L Lum
- Faculty of Dentistry, National University of Singapore, Singapore; National University Centre for Oral Health, Singapore
| | - C W Yong
- Faculty of Dentistry, National University of Singapore, Singapore; National University Centre for Oral Health, Singapore
| | - W M C Lai
- Faculty of Dentistry, National University of Singapore, Singapore; Statistics Unit, Faculty of Dentistry, National University of Singapore, Singapore
| | - R C W Wong
- Faculty of Dentistry, National University of Singapore, Singapore; National University Centre for Oral Health, Singapore.
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Yong CW, Ng WH, Quah B, Sng TJH, Loy RCH, Wong RCW. Modified maxillomandibular advancement surgery for the treatment of obstructive sleep apnoea: a scoping review. Int J Oral Maxillofac Surg 2024; 53:36-44. [PMID: 37798199 DOI: 10.1016/j.ijom.2023.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 09/13/2023] [Accepted: 09/19/2023] [Indexed: 10/07/2023]
Abstract
Modified maxillomandibular advancement (MMMA) has been proposed as an alternative to the classic maxillomandibular advancement (MMA) in East and Southeast Asian populations in which bimaxillary protrusion is a prevalent trait. The key difference between MMMA and MMA is the inclusion of anterior segmental osteotomies to reduce the protrusion of the perioral region. The aim of this scoping review was to identify the variations in MMMA and treatment outcomes. A search was conducted in the PubMed, Embase, and Cochrane electronic databases for articles published up to January 2023. Ten articles were included in this review. Three variations of MMMA have been reported in the literature. Treatment outcomes have mostly been favourable for all of these variations. Mandibular advancement of >10 mm and a greater than 50% reduction in the apnoea-hypopnoea index (AHI) have been well reported. Improvements in other outcome measures, such as enlargement of the airway dimension on computed tomography and the Epworth Sleepiness Scale score, have also been shown. Despite additional surgical procedures, complications have been uncommon and mostly minor in nature. It is necessary to be cognizant of MMMA and its variations when providing sleep surgery for East and Southeast Asian patients, tailoring this to the patient's profile and needs.
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Affiliation(s)
- C W Yong
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore
| | - W H Ng
- Department of Oral and Maxillofacial Surgery, Khoo Teck Puat Hospital, Singapore
| | - B Quah
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore
| | - T J H Sng
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore
| | - R C H Loy
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore
| | - R C W Wong
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore.
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Yong CW, Sng TJH, Quah B, Lee CKJ, Lim AAT, Wong RCW. The role of anterior segmental osteotomies in orthognathic surgery for protrusive faces in a Southeast Asian population: 10-year retrospective data of 51 patients treated in a single centre. Int J Oral Maxillofac Surg 2023; 52:468-475. [PMID: 36008221 DOI: 10.1016/j.ijom.2022.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 08/15/2022] [Accepted: 08/15/2022] [Indexed: 10/15/2022]
Abstract
Bimaxillary protrusion is a dentofacial deformity common in the East Asian population. It is often difficult to decide between orthodontic and surgical retraction to treat patients with bimaxillary protrusion, especially if surgery to correct skeletal base discrepancies is also required. The objective of this study was to investigate the treatment outcomes of surgical versus orthodontic retraction in patients with bimaxillary protrusion undergoing orthognathic surgery. A retrospective cohort study was conducted, where the medical records and radiographs of 51 patients with bimaxillary protrusion who had an anterior segmental osteotomy concomitant with orthognathic surgery were examined. Patients who had bimaxillary anterior segmental osteotomies were more likely to achieve an inter-incisal angle of 135 ± 5° at the end of treatment, when compared to patients who had orthodontic retraction (P < 0.01). The total treatment duration of patients who had bimaxillary anterior segmental osteotomies was significantly shorter as compared to that of the patients who only had these osteotomies in the maxilla (P < 0.001) or mandible (P = 0.012). Complications and permanent long-term sequelae following anterior segmental osteotomies were uncommon. It is concluded that bimaxillary anterior segmental osteotomies are a viable alternative for patients with concomitant bimaxillary protrusion and skeletal base discrepancies. This allows for a significantly shorter treatment time and greater correction of inter-incisal angles, without a significant increase in complications.
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Affiliation(s)
- C W Yong
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, Singapore
| | - T J H Sng
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, Singapore
| | - B Quah
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, Singapore
| | - C K J Lee
- Department of Orthodontics, National Dental Centre Singapore, Singapore
| | - A A T Lim
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, Singapore
| | - R C W Wong
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, Singapore.
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Yong CW, Loh FC. Wire loop sinus membrane elevator: a novel instrument for lateral window sinus lift. Int J Oral Maxillofac Surg 2020; 49:1637-1639. [PMID: 32654935 DOI: 10.1016/j.ijom.2020.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Accepted: 06/23/2020] [Indexed: 11/16/2022]
Abstract
This technical note introduces a novel instrument to facilitate lateral window sinus membrane elevation. The fabrication and use of the instrument are reported. The features of this instrument include easy control, good tactile sensation, flexibility in adjusting the instrument, and simple to replicate. Since its introduction, it has been the preferred instrument of our implant surgical trainees. Most importantly, it has proved to be an invaluable teaching tool, as it has helped not only to boost trainee confidence in the procedure, but also in their use of other sinus elevation instruments.
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Affiliation(s)
- C W Yong
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University Centre for Oral Health, National University of Singapore, Singapore.
| | - F C Loh
- Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University Centre for Oral Health, National University of Singapore, Singapore
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Yong CW, Lum JL, Makmur A, Seet JE, Lim AAT. Unusual metastatic presentations of a primary right parapharyngeal acinic cell adenocarcinoma. Int J Oral Maxillofac Surg 2019; 49:564-568. [PMID: 31668783 DOI: 10.1016/j.ijom.2019.09.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 07/30/2019] [Accepted: 09/17/2019] [Indexed: 11/27/2022]
Abstract
Acinic cell adenocarcinoma (ACA) is a malignant epithelial neoplasm of the salivary glands. The patient reported herein presented with an unusual case of a metastatic ACA originating from the right parapharyngeal region, which eventually metastasized to the ipsilateral cavernous sinus and the contralateral mandibular ramus. The trigeminal nerve may have served as a channel for the spread of the cancer from the right parapharyngeal region to the cavernous sinus, and subsequently to the left mandibular ramus. The widening of the left inferior alveolar nerve canal was an early sign of metastasis in this case.
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Affiliation(s)
- C W Yong
- Discipline of Oral Maxillofacial Surgery, Faculty of Dentistry, National University Centre for Oral Health, Singapore
| | - J L Lum
- Discipline of Oral Maxillofacial Surgery, Faculty of Dentistry, National University Centre for Oral Health, Singapore
| | - A Makmur
- Department of Diagnostic Imaging, National University Hospital, Singapore
| | - J E Seet
- Department of Pathology, National University Hospital, Singapore
| | - A A T Lim
- Discipline of Oral Maxillofacial Surgery, Faculty of Dentistry, National University Centre for Oral Health, Singapore.
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Stalker MR, Grant J, Yong CW, Ohene-Yeboah LA, Mays TJ, Parker SC. Molecular simulation of hydrogen storage and transport in cellulose. Molecular Simulation 2019. [DOI: 10.1080/08927022.2019.1593975] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- M. R. Stalker
- Centre for Sustainable Chemical Technologies, University of Bath, Bath, UK
- Department of Chemistry, University of Bath, Bath, UK
| | - J. Grant
- Department of Chemistry, University of Bath, Bath, UK
- Computing Services, University of Bath, Bath, UK
| | - C. W. Yong
- Scientific Computing Department, STFC Daresbury Laboratory, Daresbury, UK
| | - L. A. Ohene-Yeboah
- Centre for Sustainable Chemical Technologies, University of Bath, Bath, UK
- Department of Chemistry, University of Bath, Bath, UK
| | - T. J. Mays
- Department of Chemical Engineering, University of Bath, Bath, UK
| | - S. C. Parker
- Department of Chemistry, University of Bath, Bath, UK
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Rosbottom I, Yong CW, Geatches DL, Hammond RB, Todorov IT, Roberts KJ. The integrated DL_POLY/DL_FIELD/DL_ANALYSER software platform for molecular dynamics simulations for exploration of the synthonic interactions in saturated benzoic acid/hexane solutions. Molecular Simulation 2019. [DOI: 10.1080/08927022.2018.1560441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- I. Rosbottom
- Centre for Digital Design of Drug Products, School of Chemical and Process Engineering, University of Leeds, Leeds, UK
| | - C. W. Yong
- Scientific Computing Department, Science and Technology Facilities Council, Daresbury Laboratory, Warrington, UK
- Manchester Pharmacy School, Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK
| | - D. L. Geatches
- Scientific Computing Department, Science and Technology Facilities Council, Daresbury Laboratory, Warrington, UK
| | - R. B. Hammond
- Centre for Digital Design of Drug Products, School of Chemical and Process Engineering, University of Leeds, Leeds, UK
| | - I. T. Todorov
- Scientific Computing Department, Science and Technology Facilities Council, Daresbury Laboratory, Warrington, UK
| | - K. J. Roberts
- Centre for Digital Design of Drug Products, School of Chemical and Process Engineering, University of Leeds, Leeds, UK
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Yong CW, Ng WH, Yap SH, D'Souza J, Ow ATC. Psychogenic coma after dental surgery under general anaesthesia. Int J Oral Maxillofac Surg 2018; 47:1613-1615. [PMID: 30017570 DOI: 10.1016/j.ijom.2018.06.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2018] [Revised: 05/12/2018] [Accepted: 06/22/2018] [Indexed: 11/17/2022]
Abstract
Delayed awakening after general anaesthesia due to psychogenic coma is a phenomenon that rarely presents to the oral and maxillofacial surgeon. A case of psychogenic coma following general anaesthesia for dental extractions is presented here. It is recommended that patients at risk of conversion disorder should be counselled about the risks of psychogenic coma. Early diagnosis of this condition could lead to better patient management.
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Affiliation(s)
- C W Yong
- Discipline of Oral and Maxillofacial Surgery, Ng Teng Fong General Hospital (National University Health System), Singapore
| | - W H Ng
- Discipline of Oral and Maxillofacial Surgery, Ng Teng Fong General Hospital (National University Health System), Singapore
| | - S H Yap
- Department of Anaesthesia, Ng Teng Fong General Hospital (National University Health System), Singapore
| | - J D'Souza
- Department of Intensive Care Medicine, Ng Teng Fong General Hospital (National University Health System), Singapore
| | - A T-C Ow
- Discipline of Oral and Maxillofacial Surgery, Ng Teng Fong General Hospital (National University Health System), Singapore.
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Yong CW, Smith W, Strange RW, Hasnain SS. Structural investigation of human wild-type Cu, Zn superoxide dismutase – a biomolecular case study using DL_POLY_3. Molecular Simulation 2006. [DOI: 10.1080/08927020600851720] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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10
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Yong CW, Smith W, Kendall K. Investigation of contact interactions of (001) MgO: molecular dynamics simulations studies. ACTA ACUST UNITED AC 2002. [DOI: 10.1039/b105631j] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Affiliation(s)
- C. W. Yong
- School of Biological Sciences, University of Manchester, Oxford Road, Manchester M13 9PT, U.K
| | - P. G. Higgs
- School of Biological Sciences, University of Manchester, Oxford Road, Manchester M13 9PT, U.K
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Liu KSS, Yong CW, Garrison BJ, Vickerman JC. Molecular Dynamics Simulations of Particle Bombardment Induced Desorption Processes: Alkanethiolates on Au(111). J Phys Chem B 1999. [DOI: 10.1021/jp984071k] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- K. S. S. Liu
- Surface Analysis Research Centre, Department of Chemistry, UMIST, PO Box 88, Manchester, M60 1QD, U.K., School of Biological Sciences, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT, U.K., and Department of Chemistry, The Pennsylvania State University, University Park, Pennsylvania 16802
| | - C. W. Yong
- Surface Analysis Research Centre, Department of Chemistry, UMIST, PO Box 88, Manchester, M60 1QD, U.K., School of Biological Sciences, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT, U.K., and Department of Chemistry, The Pennsylvania State University, University Park, Pennsylvania 16802
| | - B. J. Garrison
- Surface Analysis Research Centre, Department of Chemistry, UMIST, PO Box 88, Manchester, M60 1QD, U.K., School of Biological Sciences, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT, U.K., and Department of Chemistry, The Pennsylvania State University, University Park, Pennsylvania 16802
| | - J. C. Vickerman
- Surface Analysis Research Centre, Department of Chemistry, UMIST, PO Box 88, Manchester, M60 1QD, U.K., School of Biological Sciences, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT, U.K., and Department of Chemistry, The Pennsylvania State University, University Park, Pennsylvania 16802
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Yong CW, Clarke JHR, Freire JJ, Bishop M. The theta condition for linear polymer chains in continuous space and three dimensions. J Chem Phys 1996. [DOI: 10.1063/1.472796] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Rubio AM, Freire JJ, Clarke JHR, Yong CW, Bishop M. Characterization of the theta state and transition curves of off‐lattice three dimensional chains. J Chem Phys 1995. [DOI: 10.1063/1.468748] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Yong CW, Nutting G, Hupka-Butz D. Saskatchewan. Tyzzer's disease in a dog. Can Vet J 1992; 33:827. [PMID: 17424139 PMCID: PMC1481386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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17
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Yong CW, Griffin S. Saskatchewan. Goiter in foals on a pregnant mare urine farm. Can Vet J 1992; 33:276-7. [PMID: 17423992 PMCID: PMC1481206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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Yong CW, Griffin S. Saskatchewan. An outbreak of actinobacillosis in foals. Can Vet J 1992; 33:192-3. [PMID: 17423968 PMCID: PMC1481187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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Yong CW. Saskatchewan. Salinomycin toxicity in turkeys. Can Vet J 1990; 31:220. [PMID: 17423541 PMCID: PMC1480771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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Kernaleguen A, Smith RA, Yong CW. Saskatchewan. Acute mustard seed toxicosis in beef cattle. Can Vet J 1989; 30:524. [PMID: 17423358 PMCID: PMC1681115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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