Mahatumarat Charan, Rojvachiranonda Nond
Chulalongkorn Craniofacial Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand.
Aesthetic Plast Surg. 2003 May-Jun;27(3):167-71. doi: 10.1007/s00266-003-0083-0. Epub 2003 Aug 21.
The concept of Eastern facial beauty is different from that of the Western. Prominent malar bones are perceived as unattractive by Easterners, including the Thai. Many techniques for malar reduction, such as chiseling or burring of the zygomatic body, are ineffective in reducing facial width. At present, the concept of medial movement of the zygomatic body is accepted as the treatment of choice. However, all current approaches leave some external facial scars, usually at the preauricular area.
A new, effective, and simple technique for reduction malarplasty that leaves no external scars is described here by the authors.
The technique consists of a purely intraoral approach to remove a segment of anterior zygomatic body, to create a greenstick fracture at each zygomatic arch, and to medially mobile the zygomatic body, which is then fixed by wiring at the end.
All eight patients who underwent this surgical procedure have satisfactory results without complications after one to six years of follow-up.
This technique represents another step of improvement in cosmetic craniofacial surgery to reduce both anterior and lateral projections of the malar eminences for better facial harmony.
东方人的面部审美观念与西方人不同。包括泰国人在内的东方人认为突出的颧骨不美观。许多颧骨缩小技术，如颧骨体凿除或磨除，在减少面部宽度方面效果不佳。目前，颧骨体内移的概念被认为是首选治疗方法。然而，目前所有的方法都会在面部留下一些外部疤痕，通常位于耳前区域。
作者在此介绍一种新的、有效且简单的颧骨缩小整形技术，该技术不会留下外部疤痕。
该技术包括一种纯粹的口内入路，切除一段颧骨体前部，在每个颧弓处造成青枝骨折，并将颧骨体内移，然后在末端用钢丝固定。
接受该手术的8例患者在随访1至6年后均取得了满意的效果，且无并发症发生。
该技术是美容颅面外科手术的又一改进，可减少颧骨突出的前后和侧向投影，以达到更好的面部和谐效果。
