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Unexpected Total Zygomatic Arch Bone Resorption Induced by Reduction Malarplasty.
Jing Zhou1, Houbing Zheng2, Zuoliang Qi1
1The 16th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical Collage, Beijing.
The Journal of Craniofacial Surgery
|August 2, 2019
Summary
This study reports total zygomatic arch bone resorption, a rare complication following reduction malarplasty. Preserving blood supply and ensuring rigid fixation are crucial for preventing this bone resorption.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Otolaryngology
Background:
- Reduction malarplasty aims to reduce cheek prominence.
- Complications can arise, necessitating careful surgical technique.
Observation:
- Two patients developed malar depression and cheek ptosis post-reduction malarplasty.
- Imaging revealed total zygomatic arch bone resorption in both cases.
Findings:
- The complication occurred after malar osteotomy and zygoma grinding.
- Total zygomatic arch bone resorption is a previously unreported complication.
Implications:
- Adequate rigid fixation and preservation of blood supply are vital for preventing zygomatic bone resorption.
- This highlights the importance of meticulous surgical technique in malarplasty procedures.
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