Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report
Asians typically exhibit prominent zygomas; therefore, several attempts have been made to reduce these structures to achieve a softer appearance. The intraoral approach is preferred because of its shorter surgical duration and lower invasiveness; however, it is associated with serious complications,...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2024-01-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2023-01039.pdf |
| _version_ | 1827351231969886208 |
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| author | Jin Woo Kim Dong Hun Lee Yong Kyu Kim |
| author_facet | Jin Woo Kim Dong Hun Lee Yong Kyu Kim |
| author_sort | Jin Woo Kim |
| collection | DOAJ |
| description | Asians typically exhibit prominent zygomas; therefore, several attempts have been made to reduce these structures to achieve a softer appearance. The intraoral approach is preferred because of its shorter surgical duration and lower invasiveness; however, it is associated with serious complications, such as nonunion. In revisional surgery, the intraoral approach poses limitations in accessing the upper part of the zygoma and the lateral orbital rim area due to its restricted operative field. Therefore, we developed an intraoral interpositional bone graft technique that enabled almost complete reconstruction. A 40-year-old woman presented with persistent depression in the left infraorbital and cheek regions after two revision operations after reduction malarplasty. Based on computed tomography (CT) scan findings, reconstruction using bone grafts was planned. Calvarial bone was harvested and divided into cortical and cancellous parts. The cortical bone was sculpted into an L-shape and inserted into the gap between the maxilla and the lower zygoma body. The hard-to-reach lateral orbital rim area was filled with cancellous bone without fixation. Follow-up CT scans showed that the cortical bone grafts were well-maintained and stabilized with titanium plates, while the cancellous bone had undergone significant resorption and was replaced by new bone, indicative of successful natural healing. |
| first_indexed | 2024-03-08T01:59:13Z |
| format | Article |
| id | doaj.art-cd3b882228f24714b5450326276d53b1 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-03-08T01:59:13Z |
| publishDate | 2024-01-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-cd3b882228f24714b5450326276d53b12024-02-14T06:39:37ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372024-01-01301283210.14730/aaps.2023.01039833Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case reportJin Woo Kim0Dong Hun Lee1Yong Kyu Kim2 Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University School of Medicine, Busan, Korea Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University School of Medicine, Busan, Korea Apgujeong YK Plastic Surgery Clinic, Seoul, KoreaAsians typically exhibit prominent zygomas; therefore, several attempts have been made to reduce these structures to achieve a softer appearance. The intraoral approach is preferred because of its shorter surgical duration and lower invasiveness; however, it is associated with serious complications, such as nonunion. In revisional surgery, the intraoral approach poses limitations in accessing the upper part of the zygoma and the lateral orbital rim area due to its restricted operative field. Therefore, we developed an intraoral interpositional bone graft technique that enabled almost complete reconstruction. A 40-year-old woman presented with persistent depression in the left infraorbital and cheek regions after two revision operations after reduction malarplasty. Based on computed tomography (CT) scan findings, reconstruction using bone grafts was planned. Calvarial bone was harvested and divided into cortical and cancellous parts. The cortical bone was sculpted into an L-shape and inserted into the gap between the maxilla and the lower zygoma body. The hard-to-reach lateral orbital rim area was filled with cancellous bone without fixation. Follow-up CT scans showed that the cortical bone grafts were well-maintained and stabilized with titanium plates, while the cancellous bone had undergone significant resorption and was replaced by new bone, indicative of successful natural healing.http://e-aaps.org/upload/pdf/aaps-2023-01039.pdfzygomaosteotomycomplicationreoperationcase reports |
| spellingShingle | Jin Woo Kim Dong Hun Lee Yong Kyu Kim Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report Archives of Aesthetic Plastic Surgery zygoma osteotomy complication reoperation case reports |
| title | Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report |
| title_full | Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report |
| title_fullStr | Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report |
| title_full_unstemmed | Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report |
| title_short | Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report |
| title_sort | interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty a case report |
| topic | zygoma osteotomy complication reoperation case reports |
| url | http://e-aaps.org/upload/pdf/aaps-2023-01039.pdf |
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