Reduction Malarplasty

Three-Dimensional Approach to Zygoma Reduction

“…Many other surgeons have reported methods using intraoral and preauricular incisions. 4,5,8,12 Parallel ostectomy 5 or shaving 4 has been performed using an intraoral incision. Yang and Chung 4 introduced a technique using a greenstick fracture and preauricular fixation with miniplates and screws.…”

“…Since Onizuka et al 1 first described a surgical technique based on chiseling and shaving via an intraoral incision, a number of different surgical techniques have been developed for reducing malar bone volume. [1][2][3][4][5][6][7][8][9][10] Current surgical methods can be divided based on the following aspects: (1) type of approach: coronal incision, 3 intraoral incision, 4,6,7,[9][10][11] or a combination of intraoral and preauricular incisions 5,8 ; and (2) type of ostectomy: parallel, 5 large L-shaped, 6,8 or small L-shaped. 11,12 Other aspects include shaving or grinding, 7 involvement of a greenstick fracture, 4 and type of bone fixation.…”

Maxillary Sinusitis After Reduction Malarplasty

“…When using the intraoral approach, most of the fixation is achieved by 1 miniplate on a zygomaticomaxillary buttress. [2][3][4] However, sometimes, only 1 wire loop is used for fixation, and no fixation is performed in greenstick fracture methods. [5][6][7][8] These procedures have problems, such as limited exposure.…”

“…[1][2][3][4][5][6][7][8] In most cases, accurate osteotomy and fixation is difficult due to the limited surgical field. [2][3][4] However, there are few reports on the adverse effects, and of those, only minor complications, such as the temporary sensory changes in the malar area, nonunion or cheek drooping, have been reported. 9 -11 However, in reduction malarplasty, a medially displaced fracture or bony fragments, as a foreign body, can induce maxillary sinusitis, but there are no reports of such complications.…”

Comparison of Three Techniques of Reduction Malarplasty in Zygomaticus and Massateric Biomechanical Changes and Relevant Complications

“…Therefore the number of reduction malarplasty becomes increasingly higher. 2 From May 2000 to August 2009 the authors performed reduction malarplasty in 259 female patients using 3 popular techniques namely traditional osteotomy through coronary incision malomaxillary suture with L-shaped osteotomy through intraoral approach and the modified X.M. 's technique.…”