J Korean Assoc Maxillofac Plast Reconstr Surg.
2003 Sep;25(5):461-465.
Intraoral approach for reduction malarplasty: A case report
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University, Korea. SGCKIM@mail.chosun.ac.kr
- 2Department of Orthodontics, Oral Biology Research Institute, College of Dentistry, Chosun University, Korea.
Abstract
- Until recently, osteotomies and surgeries to reposition prominent zygoma have performed by means of a coronal approaches or intraoral or preauricular approaches. Conventional approach have complications such as scars, the possibility of facial nerve damage, and long operative times. In using L-shape osteotomy and repositioning through an intraoral incision only, protruded cheekbone is corrected. The amount of bone to be removed is determined by preoperative interviews, physical examinations, and X-ray. Intraoral incisions provide access to the zygomatic body and lateral orbital rim. After L-shaped osteotomies, the segment is removed and the posterior portion of zygomatic arch was outfractured using curved osteotome and movable zygoma was fixed with miniplate on zygomatic body. The patient was followed for 12 months after surgery, with accepted results and temporary moth opening limitation.
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