Lee Hee Young, Yang Hyun Jin, Cho Yong Nam
Kangnam Aesthetic Clinic, Seoul, Korea.
Plast Reconstr Surg. 2006 May;117(6):1972-9. doi: 10.1097/01.prs.0000210066.51480.3f.
It is universally accepted that zygoma reduction is one of the best strategies for facial contouring for Asian patients, and many studies have been conducted regarding this subject. However, these studies have continued to perform the zygoma reduction by sectioning the complete malar eminence to fix it into a new location, which requires a wide range of periosteum dissection to expose the bone sufficiently for correct osteotomy.
In this study, with the help of a new instrument, the authors have applied a new minimally invasive, blind technique to zygoma reduction with multiple scoring and molding. The minimally invasive zygoma reduction was performed through a 5-mm intraoral stab incision, and the authors have operated on over 271 male and female patients.
As a result, the authors could reduce the operation time and the postoperative swelling and have achieved greater cosmetic effects and enlarged indications compared with those of conventional methods. The well-known complications of cheek drooping, facial nerve injury, temporomandibular joint injury, and malunion were absent. In particular, because of the relatively reduced swelling, most of the patients could resume activities of daily life within 3 days after the operation.
Therefore, the authors recommend this new minimally invasive zygoma reduction as another option for zygoma reduction.
颧骨缩小术是亚洲患者面部轮廓塑形的最佳策略之一，这一点已得到广泛认可，并且针对该主题已开展了许多研究。然而，这些研究一直通过将完整的颧突截断并固定到新位置来进行颧骨缩小术，这需要广泛的骨膜剥离以充分暴露骨骼以便进行正确的截骨术。
在本研究中，作者借助一种新器械，采用了一种新的微创、盲视技术进行多次刻痕和塑形的颧骨缩小术。微创颧骨缩小术通过一个5毫米的口腔内刺切口进行，作者已对271名以上的男性和女性患者进行了手术。
结果，与传统方法相比，作者能够缩短手术时间和减轻术后肿胀，并取得了更好的美容效果和扩大了适应症。未出现众所周知的并发症，如脸颊下垂、面神经损伤、颞下颌关节损伤和骨不连。特别是，由于肿胀相对减轻，大多数患者在术后3天内即可恢复日常生活活动。
因此，作者推荐这种新的微创颧骨缩小术作为颧骨缩小术的另一种选择。
