안전하고 효과적인 광대축소술
Safe and Effective Reduction Malarplasty
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Background: Reduction malarplasty is one of the most popular facial contouring surgeries in east Asia for making patients’ faces smaller. Currently in Korea, reduction malarplasty surgeries are performed mostly at plastic surgery clinics, but few cases are done at oral and maxillofacial surgery clinics. The reason might be because of post-operative complications after reduction malarplasty, such as undercorrection, overcorrection, asymmetry, cheek drooping, malunion, pain and noise. Those complications should be uneasy to be handled by oral and maxillofacial surgeons, however, they can be prevented by knowing the effective and safe reduction malarplasty techniques. Therefore, in this article the author as an oral and maxillofacial surgeon, would like to suggest safe and effective surgical methods for reduction malarplasty customized for Korean patients. Method: L- shape osteotomy of zygomatic body was performed with intraoral approach via vestibular incision, and the zygomatic arch was osteotomized with extraoral approach via sideburn incision. Then zygomatic complex was separated and rotated mesio-superiorly without removal of a bony strip and fixed with miniplates and microplates without making a bony gap. Conclusion: Surgical results were favorable and satisfied by the patients without cheek drooping, malunion, undercorrection and asymmetry.
Abstract
Background: Reduction malarplasty is one of the most popular facial contouring surgeries in east Asia for making patients’ faces smaller. Currently in Korea, reduction malarplasty surgeries are performed mostly at plastic surgery clinics, but few cases are done at oral and maxillofacial surgery clinics. The reason might be because of post-operative complications after reduction malarplasty, such as undercorrection, overcorrection, asymmetry, cheek drooping, malunion, pain and noise. Those complications should be uneasy to be handled by oral and maxillofacial surgeons, however, they can be prevented by knowing the effective and safe reduction malarplasty techniques. Therefore, in this article the author as an oral and maxillofacial surgeon, would like to suggest safe and effective surgical methods for reduction malarplasty customized for Korean patients. Method: L- shape osteotomy of zygomatic body was performed with intraoral approach via vestibular incision, and the zygomatic arch was osteotomized with extraoral approach via sideburn incision. Then zygomatic complex was separated and rotated mesio-superiorly without removal of a bony strip and fixed with miniplates and microplates without making a bony gap. Conclusion: Surgical results were favorable and satisfied by the patients without cheek drooping, malunion, undercorrection and asymmetry.
참고문헌 (7)
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- 대한악안면성형재건외과학회, "악안면성형재건외과학", pp.332~341 (2009), 의치학사
- Baek SM, "Reduction malarplasty", Plast Reconstr Surg, 88, pp.53~61 (1991)
- Wang T, "Reduction malarplasty with a new L-shaped osteotomy through an intraoral approach; retrospective study of 418 cases", Plast Reconstr Surg, 124, pp.1245~1253 (2009)
- Baek RM, "Face lift with reposition malarplasty", Plast Reconstr Surg, 123, pp.701~708 (2009)
- Jin H, "Reduction malarplasty using an L-shaped osteotomy through intraoral and sideburns incisions", Aesthetic Plast Surg, 35, pp.242~244 (2011)