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.	湯穎峰. 內鏡輔助顴骨復合體縮小整形術臨床應用研究. 中國美容醫學, 2015, 24(17) :4-7.
15.	鄢鵬, 馬永清, 祝頌松, 等. 用改良"L"形骨切開術降低顴骨顴弓突度. 中國美容醫學, 2011, 20(11) :1692-1694.
16.	王毅敏, Chua Chek-hau, 穆雄錚, 等. 顴骨顴弓縮小截骨術的手術徑路比較. 中國美容醫學, 2008, 17(1) :54-56.
17.	房洪波. 正常國人顴骨三維圖像100例的測量分析. 口腔頜面外科雜志, 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.	雷濤, 徐達傳, 高建華. 除皺術中防止面神經顴支損傷的解剖學研究. 第一軍醫大學學報, 2003, 23(8) :847-848.

1. 祁佐良, 顧斌, Gontur Sam Suwa, 等. 上海地區年輕女性顴骨顴弓測量及診斷標準的研究. 中華醫學美容雜志, 1999, 5(3) :12-15.
2. 尹琳, 劉劍鋒, 牛峰, 等. 顴骨L形截骨擴展術矯正顴骨過小畸形. 中國美容醫學, 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. 歸來, 鄧誠, 張智勇, 等. 口內入路L型截骨術矯正高顴骨. 中華整形外科雜志, 2002, 18(5) :288-290.
7. 張強, 郭軍, 孟志兵, 等. 顴骨顴弓縮小聯合下頜角截骨整形術后咀嚼肌群變化的研究. 中國美容醫學, 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. 呂金陵, 徐穎靜, 劉露, 等. 全口內微切口顴骨復合體縮小整形術. 中國美容醫學, 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. 湯穎峰. 內鏡輔助顴骨復合體縮小整形術臨床應用研究. 中國美容醫學, 2015, 24(17) :4-7.
15. 鄢鵬, 馬永清, 祝頌松, 等. 用改良"L"形骨切開術降低顴骨顴弓突度. 中國美容醫學, 2011, 20(11) :1692-1694.
16. 王毅敏, Chua Chek-hau, 穆雄錚, 等. 顴骨顴弓縮小截骨術的手術徑路比較. 中國美容醫學, 2008, 17(1) :54-56.
17. 房洪波. 正常國人顴骨三維圖像100例的測量分析. 口腔頜面外科雜志, 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. 雷濤, 徐達傳, 高建華. 除皺術中防止面神經顴支損傷的解剖學研究. 第一軍醫大學學報, 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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