Double support technique in malar reduction surgery
10.3760/cma.j.issn.1009-4598.2018.01.005
- VernacularTitle: 双支撑颧骨截骨降低术在面部轮廓整形中的应用
- Author:
Jianjian LU
1
;
Jiajie XU
;
Chao ZHANG
;
Fang XIE
;
Liya YANG
;
Huanhuan WU
;
Heng SUN
;
Liuhong MA
;
Biao YANG
;
Lu YANG
;
Li TENG
Author Information
1. The Second Department of Craniomaxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Zygoma;
Malunion;
Saggy cheek
- From:
Chinese Journal of Plastic Surgery
2018;34(1):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To present a new method for correction of prominent malar complex via intraoral approach by double support technique osteotomy which can provide a stable support.
Methods:According to the anatomical characteristics of malar complex and relevant masseter muscle, we designed a malar reduction technique including anterior and posterior support. The reduction procedure entailed an L-shaped osteotomy ofthemalarbody and oblique osteotomy of malar arch. On the basis of prominence degree, bone fragment was moved inward and upward to form double support, which could reduce malar and zygomatic arch effectively.
Results:A total of 76 patients subjected to double support technique for malar reduction between January 2015 and January 2017 were retrospectively reviewed.The follow-up period ranged from 10 to 12 months. All patients were satisfied with aesthetic outcomes without major complications, such as facial nerve damage or bone ununion.
Conclusions:Double support technique is an effective method to correct malar prominence andreduce the zygomatic complex which can prevent saggy cheek and bony malunion.
