Clinical extension of corrective malarplasty with tripod osteotomy

The Journal of Craniofacial Surgery
Kyung Ah LeeJae Hak Jung

Abstract

Facial asymmetry can be produced by congenital or acquired factors, and surgical correction is one of the very important and difficult fields in plastic surgery. Zygoma plays a key role to keep facial symmetry, and diverse methods have been tried to correct asymmetric face. We used the malarplasty with tripod osteotomy to correct nontraumatic asymmetric face. From December 2008 to February 2010, 3 patients presenting with facial asymmetry and enophthalmia were selected, and their average age was 18 years. One of the patients has undergone surgeries 4 times without improvement for rare facial cleft no. 4 from other hospitals. The other 2 cases had hypoplastic zygoma complex caused by early enucleation and radiation therapies because of retinoblastoma in their childhood. Through a bicoronal approach, malarplasty and calvarial bone graft were done after tripod osteotomy including the zygomaticofrontal suture, zygomatic arch, and zygoma body. The surgery results were evaluated by radiographic inspection and the photographs of the patients. Differences in preoperative heights of both normal and hypoplastic zygoma-orbit complex in Waters and zygomatic view were estimated. After corrective operation, the height of the zygoma complex w...Continue Reading

References

Jan 1, 1978·Seminars in Roentgenology·K D Dolan, C G Jacoby
Aug 1, 1975·Plastic and Reconstructive Surgery·U T Hinderer
Mar 1, 1988·Annals of Plastic Surgery·N B PowellD R Laub
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Mar 1, 1974·Plastic and Reconstructive Surgery·M González-Ulloa
Mar 1, 1982·Plastic and Reconstructive Surgery·H K Kawamoto

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Citations

Aug 9, 2012·Archives of Plastic Surgery·Ji Young YunHook Sun
Sep 16, 2017·Archives of Craniofacial Surgery·Jae-Ho ChungEul-Sik Yoon

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