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Malar augmentation using lamellar split osteotomy

K E Salyer

    The Journal of Craniofacial Surgery
    |May 1, 1994
    PubMed
    Summary
    This summary is machine-generated.

    The lamellar split osteotomy technique reshapes the facial contour for improved aesthetics. This innovative method allows bone contour modification without implants, maintaining results in growing patients.

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    Area of Science:

    • Plastic Surgery
    • Oral and Maxillofacial Surgery
    • Orthodontics

    Background:

    • Facial contouring aims to enhance aesthetics and correct skeletal deformities.
    • Traditional osteotomies have limitations in achieving desired facial projections.
    • The malar-zygomatic complex is crucial for facial structure and aesthetics.

    Purpose of the Study:

    • To introduce and evaluate the lamellar split osteotomy technique for malar-zygomatic complex contouring.
    • To demonstrate the technique's ability to achieve lateral or anterior projection.
    • To assess the long-term stability and efficacy of the technique.

    Main Methods:

    • The lamellar split osteotomy technique involves separating the outer bone table from the inner table.
    • The outer table is then bent, slid, or rotated to modify facial contour.

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  • Screws are used to secure the repositioned outer table; no additional implants are required.

    • Main Results:

    • 44 lamellar split osteotomies were performed over 6 years, with 22 for malar-zygomatic advancement.
    • Follow-up ranged from 6 months to 6 years.
    • No bone resorption or contour changes were observed, indicating stable results even during growth.

    Conclusions:

    • The lamellar split osteotomy is an effective technique for altering facial contour and improving aesthetics.
    • It offers a novel approach to surgical correction of skeletal deformities without implants.
    • The technique provides stable and predictable outcomes in the malar-zygomatic complex, suitable for growing individuals.