구개 접근법에 의한 협골 축소 성형술 ( Reduction malarplasty through intraoral approach )
분야
의약학 > 기초치의학
저자
민병일(Byong Il Min),우순섭(Soon Seop Woo),김명진(Myung Jin Kim)
발행기관
대한악안면성형재건외과학회
간행물정보
대한악안면성형재건외과학회지 1993년, 제15권 제3호, 171~177쪽(총7쪽)
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    영문초록
    The prominent malar region has been recocnized a sign of youth and beauty in caucasian who generally have a dolichocephalic and long face. But in the orients, especially Koreans who generally have a mesocephalic or brachycephalic face, it is considered an agressive, unesthetic facial appearance. So many patients require the shaving of prominent malar eminence and arch, and many methods of its reduction have been devised. For the exposure of malar complex, infraorbital skin incision, intraoral approach, preauricular approach, supraauriclar scalp incision, and coronal approach have been used. And for the reduction of bony structure, direct shaving contouring and repositioning of the malar complex after extirpation, and medially fracture of zygomatic arch have been used with its own merits. We performed the reduction malarplasty through intraoral approach. After two parallel oeteotomy at medial part of the zygomatic bone, the midsegment is removed. The posterior arch of zygoma was bended or green stick fractured. When more correction was required, the posterior arch was fractured medially through the step incision at skin. This method has a some advantages. Compared with the method of extirpation of malar complex, the infection rate is diminished, the resorption is small because of no free bone graft. And cheek drooping is prevented. Compared with the method of coronal approach, the surgical trauma is minimal. Now we report some cases of reduction malarplasty performed through intraoral approach and disscus the surgical technique and results.
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