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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2004 April;15(1):23-7
Post-traumatic reduction malarplasty: a clinical study
Tullio A., Meloni S., Bertolini F., De Riu G.
Division of Maxillofacial Surgery University Hospital of Sassari, Italy
Aim. Malar fractures untreated immediately after trauma or wrongly treated can lead to aesthetic and functional defects, as flat cheek bone and increased facial width. Malar projection is an important variable on the conventional antero-posterior and lateral planes, strictly correlated to the other facial promontories such as nose and dento-alveolar area.
Methods. One of the most frequently requested facial contour improvement procedures after traumatic injuries is to achieve an adequate and symmetrical antero-posterior projection of the zygomatic complex body. There are different surgical approaches to solve this problem, such as osteotomy and repositioning of the zygomatic arch. We usually prefer to correct this defect removing the altereted zygomatic arch and positioning EPTFE malar implants. We describe our experience with this method, performed in four patients who underwent post-traumatic malarplasty with good long-term results.
Results. After a mean follow-up of 11 months, patients does not show any kind of functional and aesthetic problems. There is no evidence of soft tissue ptosis due to zygomatic arch removal.
Conclusions. The low rates of postoperative complications and the good functional and aesthetic results make this surgery a safe and quite easy method.