CLINICAL STUDY ON ZYGOMATIC SPINDLE-SHAPED OSTEOTOMY AND INTERNAL PUSH OF TITANIUM SCREW ANCHOR IN TREATMENT OF PROMINENT MALAR_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 WENHuicai , SUIYunpeng , JIANXueping , LIAOHuaiwei , MALi , XUGuizhen , LIUYanping , WANJun , LUYingjie , FUJianhua , YANGHonghua , ZHANGJie

Department of Plastic and Cosmetic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P. R. China;

Corresponding author：

WENHuicai, Email: whcjxmc@163.com

Keywords：

Prominent malar; Osteotomy; Internal push of titanium screw; Reduction malar and zygomatic arch plasty

DOI：

10.7507/1002-1892.20160091

Video：

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Objective To explore the effectiveness of the zygomatic spindle-shaped osteotomy and internal push of titanium screw anchor for prominent malar. Method Between July 2011 and January 2015, 58 patients with prominent malar underwent zygomatic spindle-shaped osteotomy and internal push of titanium screw anchor. There were 3 males and 55 females, aged 18-33 years (mean, 23 years). They had congenital bilateral prominent malar. Preoperative anteroposterior, lateral, supine position, 45°oblique photographs of the face were taken, three-dimensional CT reconstruction of face was performed. Simple prominent malar was observed in 30 cases, and prominent malar and zygomatic arch in 28 cases; zygomatic bone and zygomatic arch were symmetrical in 51 cases, and asymmetrical in 7 cases. Results All patients obtained stage I incision healing after operation, without infection or hematoma. Numbness of the upper lip occurred in 2 cases, limitation of mouth opening in 1 case, and nasolabial fold deepening in 1 case, which recovered spontaneously after 3 months. Fifty-eight cases were followed up 6-12 months (mean, 10 months). Zygomatic narrow spacing was 10.6-13.9 mm (mean, 11.2 mm). No ptosis of facial soft tissue, zygomatic step, facial nerve injury, raising eyebrow, dysfunction of eyes closure, or temporomandibular joint disorder syndrome occurred. Good bone healing was obtained, zygomatic facial sensation had no obvious abnormality, all patients were satisfied with the improvement of appearance. Conclusions Zygomatic spindle-shaped osteotomy and internal push titanium screw anchor can effectively reduce the cheekbones, and maintain the natural curve of zygomatic body and zygomatic arch. Because of simple operation, less complications, and excellent results, it is an ideal plasty.

Citation： WENHuicai, SUIYunpeng, JIANXueping, LIAOHuaiwei, MALi, XUGuizhen, LIUYanping, WANJun, LUYingjie, FUJianhua, YANGHonghua, ZHANGJie. CLINICAL STUDY ON ZYGOMATIC SPINDLE-SHAPED OSTEOTOMY AND INTERNAL PUSH OF TITANIUM SCREW ANCHOR IN TREATMENT OF PROMINENT MALAR. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(4): 453-456. doi: 10.7507/1002-1892.20160091 Copy

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10.	Rao S, Rao S. Use of mono cortical screws as an aid to zygomatic complex fracture reduction. J Maxillofac Oral Surg, 2015, 14(1) :126-127.
11.	Lv JL, Tang QN, Hui JH, et al. Efficacy of tolterodine for medical treatment of intramural ureteral stone with vesical irritability. Urol Res, 2011, 39(3) :213-216.
12.	Fiacconi CM, Owen AM. Using psychophysiological measures to examine the temporal profile of verbal humor elicitation. PLoS One, 2015, 10(9) :e135902.
13.	Mundinger GS, Daniel M, Sacks JM. Zygomatic arch fracture with coronoid impingement. Eplasty, 2015, 15:ic5.
14.	汤颖峰. 内镜辅助颧骨复合体缩小整形术临床应用研究. 中国美容医学, 2015, 24(17) :4-7.
15.	鄢鹏, 马永清, 祝颂松, 等. 用改良"L"形骨切开术降低颧骨颧弓突度. 中国美容医学, 2011, 20(11) :1692-1694.
16.	王毅敏, Chua Chek-hau, 穆雄铮, 等. 颧骨颧弓缩小截骨术的手术径路比较. 中国美容医学, 2008, 17(1) :54-56.
17.	房洪波. 正常国人颧骨三维图像100例的测量分析. 口腔颌面外科杂志, 2010, 20(6) :407-409.
18.	Nagasao T, Nakanishi Y, Shimizu Y, et al. An anatomical study on the position of the summit of the zygoma:theoretical bases for reduction malarplasty. Plast Reconstr Surg, 2011, 128(5) :1127-1138.
19.	雷涛, 徐达传, 高建华. 除皱术中防止面神经颧支损伤的解剖学研究. 第一军医大学学报, 2003, 23(8) :847-848.

1. 祁佐良, 顾斌, Gontur Sam Suwa, 等. 上海地区年轻女性颧骨颧弓测量及诊断标准的研究. 中华医学美容杂志, 1999, 5(3) :12-15.
2. 尹琳, 刘剑锋, 牛峰, 等. 颧骨L形截骨扩展术矫正颧骨过小畸形. 中国美容医学, 2009, 18(3) :313-315.
3. Choung JW. Rotation technique of reduction malar plasty. J Craniofac Surg, 2015, 26(1) :238-239.
4. Lee DG. Stabilisation of the unstable fractured zygomatic arch with a ballooned foley catheter. Indian J Otolaryngol Head Neck Surg, 2014, 66(Suppl 1) :320-322.
5. Wang T, Gui L, Tang X, et al. Reduction malarplasty with a new L-shaped osteotomy through an intraoral approach:retrospective study of 418 cases. Plast Reconstr Surg, 2009, 124(4) :1245-1253.
6. 归来, 邓诚, 张智勇, 等. 口内入路L型截骨术矫正高颧骨. 中华整形外科杂志, 2002, 18(5) :288-290.
7. 张强, 郭军, 孟志兵, 等. 颧骨颧弓缩小联合下颌角截骨整形术后咀嚼肌群变化的研究. 中国美容医学, 2014, 23(2) :116-120.
8. Baliga SD, Bose A, Jain S. The evaluation of efficacy of post-operative antibiotics in the open reduction of the zygomatic and mandibular fracture:a prospective trial. J Maxillofac Oral Surg, 2014, 13(2) :165-175.
9. 吕金陵, 徐颖静, 刘露, 等. 全口内微切口颧骨复合体缩小整形术. 中国美容医学, 2009, 18(11) :1557-1560.
10. Rao S, Rao S. Use of mono cortical screws as an aid to zygomatic complex fracture reduction. J Maxillofac Oral Surg, 2015, 14(1) :126-127.
11. Lv JL, Tang QN, Hui JH, et al. Efficacy of tolterodine for medical treatment of intramural ureteral stone with vesical irritability. Urol Res, 2011, 39(3) :213-216.
12. Fiacconi CM, Owen AM. Using psychophysiological measures to examine the temporal profile of verbal humor elicitation. PLoS One, 2015, 10(9) :e135902.
13. Mundinger GS, Daniel M, Sacks JM. Zygomatic arch fracture with coronoid impingement. Eplasty, 2015, 15:ic5.
14. 汤颖峰. 内镜辅助颧骨复合体缩小整形术临床应用研究. 中国美容医学, 2015, 24(17) :4-7.
15. 鄢鹏, 马永清, 祝颂松, 等. 用改良"L"形骨切开术降低颧骨颧弓突度. 中国美容医学, 2011, 20(11) :1692-1694.
16. 王毅敏, Chua Chek-hau, 穆雄铮, 等. 颧骨颧弓缩小截骨术的手术径路比较. 中国美容医学, 2008, 17(1) :54-56.
17. 房洪波. 正常国人颧骨三维图像100例的测量分析. 口腔颌面外科杂志, 2010, 20(6) :407-409.
18. Nagasao T, Nakanishi Y, Shimizu Y, et al. An anatomical study on the position of the summit of the zygoma:theoretical bases for reduction malarplasty. Plast Reconstr Surg, 2011, 128(5) :1127-1138.
19. 雷涛, 徐达传, 高建华. 除皱术中防止面神经颧支损伤的解剖学研究. 第一军医大学学报, 2003, 23(8) :847-848.

Chinese Journal of Reparative and Reconstructive Surgery

CLINICAL STUDY ON ZYGOMATIC SPINDLE-SHAPED OSTEOTOMY AND INTERNAL PUSH OF TITANIUM SCREW ANCHOR IN TREATMENT OF PROMINENT MALAR

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