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KMID : 1033720170180040264
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Archives of Craniofacial Surgery
2017 Volume.18 No. 4 p.264 ~ p.268
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Malar Relocation with Reverse-L Osteotomy and Autogenous Bone Graft
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Yoon Se-Hoon
Jeong Eui-Cheol
Chung Jee-Hyeok
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Abstract
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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.
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KEYWORD
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Zyomatic fractures, Malunited fractures
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Listed journal information
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