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Related Experiment Videos

[Malar valgisation in narrow face patients].

R Gola1, O Richard, L Guyot

  • 1Service de stomatologie, chirurgie maxillofaciale et plastique de la face, hôpital Nord, chemin des Bourrelys, Marseille, France.

Annales De Chirurgie Plastique Et Esthetique
|October 26, 2005
PubMed
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.

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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.

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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.