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[Malar valgisation in narrow face patients].
1Service de stomatologie, chirurgie maxillofaciale et plastique de la face, hôpital Nord, chemin des Bourrelys, Marseille, France.
Summary
Transmalar osteotomy corrects narrow faces caused by maxillo-malar hypoplasia. This surgical technique, using bone grafts and miniplates, offers stable, natural-looking results and avoids complications associated with biomaterials.
Area of Science:
- Plastic Surgery
- Maxillofacial Surgery
- Otolaryngology
Background:
- Narrow faces are often linked to maxillo-malar hypoplasia, frequently resulting from chronic nasal obstruction.
- This condition presents a significant dysmorphic aspect affecting facial aesthetics.
Observation:
- Functional malar valgisation via transmalar osteotomy offers a straightforward and secure method for correcting narrow facial morphology.
- The study reports on clinical experience with 15 cases undergoing this procedure.
Findings:
- Utilizing an interpositional bone graft and miniplate osteosynthesis effectively prevents mucous membrane inflammation, maxillary sinusitis, and relapse, issues often seen with biomaterial implants.
- Malar osteotomy provides a natural correction for narrow faces, yielding stable long-term aesthetic and functional outcomes.
Implications:
- Transmalar osteotomy is a reliable surgical approach for improving facial aesthetics in patients with maxillo-malar hypoplasia.
- Combining this procedure with functional and aesthetic rhinoplasty can further enhance patient outcomes.
- The technique offers a durable solution, minimizing the risks associated with alternative methods.