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Reconstruction for malar asymmetry

M S Karlan, B S Skobel

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |January 1, 1980
    PubMed
    Summary

    Facial asymmetry due to malar area deformities can be corrected using advanced craniofacial repositioning techniques. A new geometric formula aids in predicting surgical outcomes for improved patient results.

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    Area of Science:

    • Plastic Surgery
    • Craniofacial Surgery
    • Anthropometry

    Background:

    • Facial asymmetry, particularly in the malar area, can result from congenital or posttraumatic deformities.
    • Current repair methods like onlay grafting and craniofacial repositioning have limitations.
    • Accurate measurements are crucial for effective correction of malar deformities.

    Observation:

    • Anthropometric data from skulls suggest a geometric formula can predict outcomes of malar eminence rotation-advancement.
    • A refined surgical technique emphasizes three-dimensional repair and stable bone-to-bone fixation.
    • The technique was successfully applied in the treatment of six recent patients.

    Findings:

    • A predictive geometric formula can guide the rotation-advancement of depressed malar eminences.
    • The evolved surgical method ensures stable fixation through bone-to-bone contact, enhancing craniofacial repositioning.
    • This approach offers more accurate and predictable corrections for malar deformities.

    Implications:

    • The developed geometric formula can improve the predictability of surgical outcomes in malar asymmetry correction.
    • Emphasis on three-dimensional repair and stable fixation advances craniofacial repositioning techniques.
    • This research provides a valuable tool for surgeons addressing congenital and posttraumatic malar deformities.

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