J Korean Cleft Palate-Craniofac Assoc Search

CLOSE


Journal of the Korean Cleft Palate-Craniofacial Association 2005;6(2):113-118.
Intraoral Reduction Malarplasty without Internal Fixation.
Jin Hyo Lee, Young June You
Department of Plastic and Reconstructive Surgery at Inje University Medical Center, Seoul, Korea. menix419@hanmail.net
Abstract
The concept of the Asian facial beauty is different from that of the western. Caucasians, especially among the western, consider prominent malar bones as a sign of youth and beauty. But in Orientals including Koreans, prominent malar bones are recognized as unattractive. Until recently, operations to reposition prominent zygoma have been performed by means of a coronal incision or a combined approach, using both the intraoral and the external(preauricular, temporopreauricular or side burn) incision. Such incisions have shortcomings such as external scars, long operative time, and the possibility of facial nerve or artery injury. Intraoral incision alone is associated with problems such as cheek drooping, limited exposure in the area of zygomatic arch, and difficulty in making symmetry of the cheek. During the past 4 years, we performed a reduction malarplasty without internal fixation through an intraoral incision alone in thirty-six patients who have prominent zygoma, mainly lateral projection of the zygoma. Osteotomy of the zygomatic arch was done posteromedially using a 120 degrees-angled oscillating saw, 1cm anterior to the articular tubercle and then osteotomy of the zygomatic body was done using a reciprocating saw. After complete osteotomy and posteromedial reduction, fixation using miniplate or wire was not done. The patients were followed for 14 months, with satisfactory results and few complications. We conclude that this technique is a simple and effective method of conduction an intraoral osteotomy and reduction malarplasty without internal fixation.
Keywords: Reduction malarplasty; Intraoral incision
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 268 View
  • 0 Download
Related articles in ACFS

Intraorbital Cysticercosis Treatment with Lateral Orbitotomy.2005 April;6(1)



ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
Dept. of Plastic & Reconstructive Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea
Tel: +82-53-200-5681    E-mail: prschoi@gmail.com                

Copyright © 2019 by Korean Cleft Palate-Craniofacial Association. All rights reserved.

Developed in M2community

Close layer
prev next