Malar Relocation with Reverse-L Osteotomy and Autogenous Bone Graft.
10.7181/acfs.2017.18.4.264
- Author:
Se Hoon YOON
1
;
Euicheol JEONG
;
Jee Hyeok CHUNG
Author Information
1. Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Zyomatic fractures;
Malunited fractures
- MeSH:
Baseball;
Cheek;
Contusions;
Fractures, Malunited;
Humans;
Male;
Mastication;
Middle Aged;
Mouth;
Osteotomy*;
Temporomandibular Joint;
Transplants*;
Trismus;
Wounds, Nonpenetrating
- From:Archives of Craniofacial Surgery
2017;18(4):264-268
- CountryRepublic of Korea
- Language:English
-
Abstract:
The zygomaticomaxillary complex (ZMC) functions as a buttress for the face and is the cornerstone to a person's aesthetic appearance, by both setting the midfacial width and providing prominence to the cheek. Malar deficiency is often acquired by blunt injury incurred in a traumatic accident, resulting in ZMC fracture. A 48-year-old male patient presented a right ZMC fracture after contusion injury by a baseball. He only received conservative management and later he suffered discomfort during mouth opening at the moment of mastication, due to trismus involving the temporomandibular joint. In the current case, we describe a surgical technique, by which the malar body is shifted anteriorly and laterally after combined oblique-vertical osteotomy. The technique presented, eventually restored the former aesthetic position of the malar complex and symmetry, and, moreover, improved mastication function.
