Facial asymmetry, operative time, and complications were evaluated to compare 2 groups of patients: those who underwent . Relaxation. The other patient underwent zygoma grinding without osteotomy. This paper describes a new technique in the closed reduction of tripod fractures using a towel clip. The Percutaneous Hook approach is extraoral while Keen's approach is intraoral. Purpose: The purpose of this study was to evaluate the effectiveness of zygomatic complex fracture reduction by percutaneous bone hook traction as a minimally invasive treatment. It serves as an attachment point for the masseter and plays a significant role in maintaining facial contour. It is often performed on patients with a mild or moderate wide face or those who want to retain the original angle of . This surgical procedure is commonly done for patient who has a wide face due to large or prominent cheek bones. Besides forming the prominence of the . Zygomatic Arch Reduction. It articulates with the frontal bone, temporal bone, maxilla, and sphenoid bone, and serves as the main bridge amongst these bones [].In addition, the bone provides anchor points for masseter, temporalis, and zygomaticus major and minor muscles [].The protruding malar eminence gives the face its three-dimensional . You are referring to cheekbone reduction osteotomies which bring in the wide cheekbone proper and the zygomatic arch. This procedure involves two-incision scars. The zygomatic arch plays a prominent role in facial skeletal profile by establishing malar projection ("cheek bones"). Fractures of the zygomatic arch can occur in isolation. Let's get started Step 1 Exercise -------------------- Place your palms on your cheeks for 10 circular motions to loosen your muscles. [1][2] Nasal fractures are most typically associated with physical altercations, falls, sports injuries, and motor vehicle accidents. Drains are usually placed as to prevent excess fluid build-up. Patients and methods: A retrospective case series analysis of 24 patients who underwent unilateral isolated zygomatic complex fracture reduction by percutaneous bone hook traction between June 2014 and June 2019 was . An incision (2 cm) will be made on the mouth mucous membrane. In the human skull, the zygomatic bone (from Ancient Greek: , romanized: zugn, lit. The zygomatic arch is formed by the articulation of the temporal process of the zygoma and the zygomatic process of the temporal bone. [4] Nasal fractures are twice as . Isolated arch fractures are often the result of a direct lateral force to the arch that drives the . This condition is common in Oriental patients. Answer: Facelift after zygoma reduction. 4) The cheekbone is reattached in desired place and fixated with screws to make it secured and so it can heal on its own. The structure of the zygomatic bone . 'yoke'), also called cheekbone or malar bone, is a paired irregular bone which articulates with the maxilla, the temporal bone, the sphenoid bone and the frontal bone.It is situated at the upper and lateral part of the face and forms the prominence of the cheek, part of the lateral wall and floor . Answer: Wide Cheekbones Thank you for your pictures. Relax for another 5 seconds and repeat it three times. Front Zygoma. It is often referred to as the cheekbone, and it comprises the prominence just below the lateral side of the orbit . The objective of this study was to evaluate outcomes of two different treatment protocols (percutaneous bone hook method and Keen's method) for reduction of zygomatic bone fracture. INTRODUCTION. Dr Huang uses modern and minimally invasive Korean surgical techniques, instruments and equipment for this procedure. It is possible that re-suspending the fat/muscle/skin of the midface is all that is needed. Open your mouths as if you were at the dentist's. Push the chin down until it forms an O, then we cover the teeth with the lips. A tense smile or pinched lips can increase the wrinkles around and above your mouth. This chapter focuses on closed reduction and treatment . Our technique is an L-shaped osteotomy or two-site osteotomy and rotation method. In the past 5 years, 6 zygomatic nonunion patients who received reduction malarplasty through the intraoral approach visited our hospital with a limitation of mouth opening and a depression on the malar area. There are three main techniques of cheekbone reduction. Cheekbone Reduction (Small Face Surgery) The zygomatic bone is located at the inferolateral rim of the orbits, which connect the nasal bone at the medial side with the alveolar bone (maxilla bone) at the inferior side and form a slender zygomatic arch at the lateral side extending to the front of the ears. Fractures of the zygomatic bone are the second most treatment of zygomatic bone fractures and can be examined under two headings, open and closed reductions. Methods A retrospective study was conducted by reviewing the computed tomography scans of 204 patients who underwent reduction surgery of Knight and North type 3, 4, or 5 zygomatic fractures from March 2009 to August 2017. I think a strategy would be to make an incision inside the upper lip and slightly contour the width of your cheekbones this should be a subtle and not aggressive approach. The purpose of zygomatic bone and zygomatic arch reduction surgery is to reduce the mid face width and eliminate the diamond facial outline. It is the more advanced version of traditional jaw and chin procedures and generally involves fracturing, trimming, and rotating the cheekbone to remove or correct bone protrusions that create a strong or harsh . The desired amount of bone is removed and the remainder pushed in to reposition the bone. The zygomatic bone is closely quadrangular in shape and it features a total of three surfaces, five borders, and two processes. The zygomatic bone (zygoma) is an irregularly shaped bone of the skull. The zygoma is a facial bone with a complex quadripod shape. This could be combined with an overall jaw augmentation which could consist of standard chin/sliding genioplasty with jaw angle implants to a total custom jawline implant. One is intra-oral for the zygomatic body, and the other is located in front of the ear behind the sideburn for the zygomatic arch. Both patients presented malar depression and cheek ptosis after surgery and visited the clinic. Reconstruction of the orbital floor should be performed after the zygoma has been reduced and fixated. Zygoma reduction methods Bone hook Illustration shows reduction of zygomatic-complex fracture using a percutaneous technique and a hook. Move to the. Purpose: To achieve optimal outcomes in reduction malarplasty, the amount of removed zygomatic bone must be planned accurately. After each cut, the excess zygomatic bone will be removed and the remaining bone pushed inwards. Hold the position for 15 seconds. In this research, two approaches have been studied. Perform a relaxation exercise with a gliding stroke to relax your zygomaticus major and minor muscles. Zygoma reduction plasty or reduction malarplasty is popular among Asian individuals to reduce facial width. Physical examination, cephalometric radiographs, and facial 3-dimensional computed tomography were conducted, which indicated total zygomatic arch bone resorption. 02. Most people's face sides only have small difference in size and shape and asymmetry is hardly noticeable. This procedure is mainly used to improve the condition of a wide face ("pancake face correction") caused by zygomatic arch protrusion laterally, but it cannot obviously change the zygomatic body. This study aimed to analyze the associations between the width of bony resection and changes in zygomatic bony parameters, to propose a geometric model to guide surgical planning, and to objectively evaluate the surgical outcomes of reduction malarplasty based on . 2. This is a complicated question, as there are many variables to consider. Cheekbone - Zygomatic Reduction surgery. 1. A complementary procedure, like buccal fat removal (which removes fat in the cheek hollows) or a facelift (to offset any sagging or droopy cheeks due to excess skin), may also be performed to create the desired facial contour. Definition & Overview. The front zygomatic body is cut in an L-shape, along with the side zygomatic arches. Move up and massage in circular motion 10 times. In every case, they were corrected by rib bone interpositional or onlay graft and miniplate refixation through a previous intraoral incision. Then the body of the zygoma (cheekbones) will be cut with a special saw into an L shape. 01. Screw and traction In this illustration a percutaneous screw is inserted into the zygomatic bone. The zygomatic bone (also called zygoma) is an irregular-shaped bone of the human skull. 3 people found this helpful For this reason we discourage the use of this technique by surgeons with little experience. A zygoma reduction is a cosmetic surgical procedure that reduces the size of the zygoma or the cheekbones. Like the other human organs the zygomatic bone and zygomatic arch are not symmetric. Use a diagonal trajectory that stretches . These will be removed the day after surgery. Cheekbone reduction surgery or zygoma reduction surgery is a cosmetic surgical procedure to reduce the width of upper face essentially the cheekbone in order to make the face smaller, oval and more feminine. Zygoma Reduction Surgery. For example, start by sliding your fingertips from the corners of your mouth up and over your cheekbones. Mandibular reduction involves reducing excess bone in the angle and back of the lower jaw that makes the lower face look too wide and square. It is minimally invasive and requires . Order of reduction and fixation. Revisit your concerns with your surgeon, or seek an in-person consultation with a plastic surgeon specializing in facial surgery in your area. 1. Methods: Seventeen consecutive patients (three females, 14 males) with a mean age of 35 . Start by lowering your shoulders and straightening your back (do this in all exercises). Nasal bone fractures are the most common type of facial fracture, representing 40% to 50% of cases. You have a very long face but a slightly wide upper face due to your zygomatic bone/cheekbones. Zygoma reduction plasty plastic surgeries are ideal for contouring of the midface, reductions in facial width, and as a solution to cheek drooping. It is the more advanced version of traditional jaw and chin procedures and generally involves fracturing, trimming, and rotating the cheekbone to remove or correct bone protrusions that create a strong or harsh appearance. L-shaped osteotomy This technique applies to people whose malar mainly protrudes to the front. ency of the CGTS compared with the 3-point approach. Surgery Process. Zygoma reduction, also known as cheekbone reduction surgery, is a surgery used to reduce the facial width by excising part of the zygomatic bone and arch.Wide cheekbones are a characteristic facial trait of Asians, whose skull shapes tend to be more brachycephalic (broad, short skull) in comparison with Caucasian counterparts, whose skull shapes tend to be more dolichocephalic (narrow and long . The repositioned bone is securely fixed. After surgery, patients are often required to stay in hospital care for overnight monitoring. [3] Bony nasal trauma may present as an isolated injury or occur in combination with other soft tissue and bony facial injuries. 03. It is often referred to as the cheekbone, and it comprises the prominence just below the lateral side of the orbit. What cosmetic concerns does a zygoma reduction plasty procedure treat? In a fracture of this nature, the reduction and fixation of the zygoma, including the zygomatic arch, orbital rim, and zygomaticomaxillary buttress should be performed first. The zygomatic bone is nearly quadrangular in shape and it features three surfaces, five borders and two processes. A zygoma reduction is a cosmetic surgical procedure that reduces the size of the zygoma or the cheekbones. In such cases, the tetrapod articulations are usually not violated and the remainder of the complex is stable.
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