The Rationale of Coronal Approach to Malar/Zygoma Reduction
Background:. Malar/zygoma reduction is an effective procedure to change a broader, flatter facial appearance to an oval facial shape. Of the intraoral and coronal approaches, the intraoral is the more commonly used technique than the coronal, due to the perception that complications with the coronal...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-10-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005304 |
| _version_ | 1797646868976500736 |
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| author | Jae-Yoon Seol, MD, PhD Kenneth K. Kim, MD, FACS |
| author_facet | Jae-Yoon Seol, MD, PhD Kenneth K. Kim, MD, FACS |
| author_sort | Jae-Yoon Seol, MD, PhD |
| collection | DOAJ |
| description | Background:. Malar/zygoma reduction is an effective procedure to change a broader, flatter facial appearance to an oval facial shape. Of the intraoral and coronal approaches, the intraoral is the more commonly used technique than the coronal, due to the perception that complications with the coronal approach are significant, and intraoral results are satisfactory. We compared the postoperative effects of both approaches.
Methods:. From 1994 to 1999, we included the 150 intraoral cases that were followed up for 3 years postoperatively. From 2000 to 2018, we changed our technique to the coronal approach and included the 575 cases that were followed up for 3 years postoperatively. We compared the results of our prior intraoral approach with the more recent coronal approach.
Results:. All cases of the intraoral approach resulted in smaller-sized faces horizontally; however, 90 patients (60%) still had resulting flat-shaped faces due to acute angle formation in the resultant zygoma. There were 141 cases (94%) of partial malunion and 138 cases (92%) of midface ptosis. Among the 575 coronal approaches, 518 cases (90%) resulted in an oval facial shape without acute angled zygoma. There were 161 cases (28%) of visible incision scars, 466 cases (81%) of temporary alopecia, 12 cases (2%) of hematoma, and 29 cases (5%) of temporary frontal facial nerve injury.
Conclusions:. The intraoral approach led to flat and acute zygomas. The majority of patients experienced midface soft tissue ptosis. In contrast, the coronal approach led to an oval facial shape. The most notable complications of the coronal approach were visible scars and temporary alopecia. |
| first_indexed | 2024-03-11T15:08:00Z |
| format | Article |
| id | doaj.art-9711b7e363aa4322a8ee1d2c8cc8e30f |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-11T15:08:00Z |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-9711b7e363aa4322a8ee1d2c8cc8e30f2023-10-30T03:42:32ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-10-011110e530410.1097/GOX.0000000000005304202310000-00052The Rationale of Coronal Approach to Malar/Zygoma ReductionJae-Yoon Seol, MD, PhD0Kenneth K. Kim, MD, FACS1From * Seoljaeyoon Plastic Surgery, Seoul, South Korea† Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, Calif.Background:. Malar/zygoma reduction is an effective procedure to change a broader, flatter facial appearance to an oval facial shape. Of the intraoral and coronal approaches, the intraoral is the more commonly used technique than the coronal, due to the perception that complications with the coronal approach are significant, and intraoral results are satisfactory. We compared the postoperative effects of both approaches. Methods:. From 1994 to 1999, we included the 150 intraoral cases that were followed up for 3 years postoperatively. From 2000 to 2018, we changed our technique to the coronal approach and included the 575 cases that were followed up for 3 years postoperatively. We compared the results of our prior intraoral approach with the more recent coronal approach. Results:. All cases of the intraoral approach resulted in smaller-sized faces horizontally; however, 90 patients (60%) still had resulting flat-shaped faces due to acute angle formation in the resultant zygoma. There were 141 cases (94%) of partial malunion and 138 cases (92%) of midface ptosis. Among the 575 coronal approaches, 518 cases (90%) resulted in an oval facial shape without acute angled zygoma. There were 161 cases (28%) of visible incision scars, 466 cases (81%) of temporary alopecia, 12 cases (2%) of hematoma, and 29 cases (5%) of temporary frontal facial nerve injury. Conclusions:. The intraoral approach led to flat and acute zygomas. The majority of patients experienced midface soft tissue ptosis. In contrast, the coronal approach led to an oval facial shape. The most notable complications of the coronal approach were visible scars and temporary alopecia.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005304 |
| spellingShingle | Jae-Yoon Seol, MD, PhD Kenneth K. Kim, MD, FACS The Rationale of Coronal Approach to Malar/Zygoma Reduction Plastic and Reconstructive Surgery, Global Open |
| title | The Rationale of Coronal Approach to Malar/Zygoma Reduction |
| title_full | The Rationale of Coronal Approach to Malar/Zygoma Reduction |
| title_fullStr | The Rationale of Coronal Approach to Malar/Zygoma Reduction |
| title_full_unstemmed | The Rationale of Coronal Approach to Malar/Zygoma Reduction |
| title_short | The Rationale of Coronal Approach to Malar/Zygoma Reduction |
| title_sort | rationale of coronal approach to malar zygoma reduction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005304 |
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