JJ Hong Jin Joo Plastic Surgery Hospital, Seoul, Korea.
Department of Plastic Surgery, Seoul National University College of Medicine, Seoul National University, 28-21, Yeongeon-dong, Jongno-gu, Seoul, 03080, Korea.
Aesthetic Plast Surg. 2017 Aug;41(4):910-918. doi: 10.1007/s00266-017-0879-y. Epub 2017 May 23.
Various surgical methods have been developed and used to reduce prominent malar bones. The most common reduction malarplasty methods are resection of the bone strip of the malar bone with L-osteotomy or I-osteotomy, followed by setback and fixation. However, these methods could be associated with complications due to the bone strip resection. The present article introduces an effective and safe method that reduces the zygoma without resection of a malar bone strip.
Through preauricular and intraoral incisions, we performed the current L-osteotomy without resection of the malar bone strip using a reciprocating saw. We created back space for zygoma setback by removing the posterior wall of the maxillary sinus, which acted as a bony interference. We were able to set the lateral segment of the zygoma back about 3-5 mm. We fixed the zygomatic arch with wire and the zygomatic body with a prebent plate and screw. Thereafter, we performed rasping of the anterior part of the zygoma to achieve sufficient reduction. After performing our reduction malarplasty for 139 patients, clinical outcomes were evaluated.
Most patients responded to the satisfaction survey as excellent and good. There were no major complications 6 months postoperatively.
The key of our method of reduction malarplasty is to create posterior space without resecting the malar body strip, which results in an effective setback. This method enables surgeons to effectively maintain the zygoma body, which leads to high satisfaction rates and fewer complications. Therefore, this study proved the safety and effectiveness of our method of reduction malarplasty.
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各种外科方法已被开发并用于减少突出的颧骨。最常见的颧骨缩小整形术方法是 L 形截骨或 I 形截骨切除颧骨骨条，然后后退和固定。然而，这些方法可能由于骨条切除而导致并发症。本文介绍了一种有效且安全的方法，无需切除颧骨骨条即可缩小颧骨。
通过耳前和口腔切口，我们使用往复锯进行了当前的 L 形截骨术，无需切除颧骨骨条。我们通过去除上颌窦后壁来创建颧骨后退的后空间，上颌窦后壁起到骨干扰的作用。我们能够将颧骨外侧段后退约 3-5mm。我们用钢丝固定颧骨弓，用预弯板和螺钉固定颧骨体。然后，我们进行颧骨前部分的锉削以实现充分的缩小。在对 139 例患者进行颧骨缩小整形术后，评估了临床结果。
大多数患者对满意度调查的反应是优秀和良好。术后 6 个月无重大并发症。
我们的颧骨缩小整形术方法的关键是在不切除颧骨体条的情况下创建后空间，从而实现有效的后退。这种方法使外科医生能够有效地维持颧骨体，从而导致高满意度和较少的并发症。因此，本研究证明了我们的颧骨缩小整形术方法的安全性和有效性。
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