• Title/Summary/Keyword: Zyomatic fractures

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Malar Relocation with Reverse-L Osteotomy and Autogenous Bone Graft

  • Yoon, Se Hoon;Jeong, Euicheol;Chung, Jee Hyeok
    • Archives of Craniofacial Surgery
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    • v.18 no.4
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    • pp.264-268
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    • 2017
  • The zygomaticomaxillary complex (ZMC) functions as a buttress for the face and is the cornerstone to a person's aesthetic appearance, by both setting the midfacial width and providing prominence to the cheek. Malar deficiency is often acquired by blunt injury incurred in a traumatic accident, resulting in ZMC fracture. A 48-year-old male patient presented a right ZMC fracture after contusion injury by a baseball. He only received conservative management and later he suffered discomfort during mouth opening at the moment of mastication, due to trismus involving the temporomandibular joint. In the current case, we describe a surgical technique, by which the malar body is shifted anteriorly and laterally after combined oblique-vertical osteotomy. The technique presented, eventually restored the former aesthetic position of the malar complex and symmetry, and, moreover, improved mastication function.