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Related Experiment Videos

[Evolution of maxillo-malar osteotomy. Clinical experience]

A Salgarelli1, E Fraccari, R Magnato

  • 1Istituto di Clinica Odontoiatrica, Università degli Studi, Verona.

Minerva Stomatologica
|June 1, 1997
PubMed
Summary

Zygomaticomaxillary osteotomy via an intraoral approach offers excellent aesthetic and functional outcomes for midfacial deficiency. This method minimizes operative and postsurgical complications compared to other techniques.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Orthognathic Surgery

Background:

  • Midfacial deficiency and skeletal malocclusion often require surgical correction.
  • Various zygomaticomaxillary osteotomy approaches exist, including intraoral and extraoral methods.
  • Alternative techniques involve Le Fort I osteotomy with grafts or quadrangular Le Fort I osteotomy, mobilizing the infraorbital rim.

Observation:

  • The intraoral approach for zygomaticomaxillary osteotomy is preferred for its aesthetic and functional results.
  • This technique demonstrates a low incidence of operative and postsurgical complications.
  • Patient selection is crucial; infraorbital rim mobilization is indicated for scleral show, while non-mobilization benefits others.

Findings:

  • The intraoral approach provides superior aesthetic and functional outcomes in treating midfacial deficiency.

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  • Complication rates are significantly lower with the intraoral method.
  • Selective infraorbital rim mobilization during osteotomy optimizes results based on patient-specific needs.

    • Implications:

    • The intraoral zygomaticomaxillary osteotomy is a safe and effective procedure for correcting midfacial skeletal discrepancies.
    • Tailoring infraorbital rim management improves patient outcomes in orthognathic surgery.
    • This technique offers a valuable alternative for achieving desirable aesthetic and functional results in reconstructive surgery.