Source paper 2021 · L-rotation technique
First author · 2021Endoscopically assisted malarplasty: L-rotation technique
Journal of Stomatology, Oral and Maxillofacial Surgery
261 cases under local anaesthesia: an L-shaped osteotomy in which the cortical connection left in place becomes the axis of rotation.
What was recorded
In 261 patients the zygoma was reduced through the temporal endoscopic approach with an L-shaped osteotomy. Rather than freeing the fragment completely and moving it a long way with plate fixation, part of the cortical connection was retained and used as a hinge around which the body rotated inward. The paper reports the technique, the indications and the complications observed in the series.
What it shows
The anterior zygoma, which the first method of 2003 could not handle well, came within range. The extension was driven by a limit — the faces the earlier method did not suit — rather than by its successes. What is left behind becomes the axis: not less surgery, but a decision about what to leave so that stability and movement are both obtained.
What it does not show
The paper does not claim the technique for every face. Where the required movement is large or rigid fixation is needed, an intraoral approach with plates may be the better tool. The 261 cases are a separate series from the 32 of 2003 and the 11 of 2013 and are not combined with them.
The engine of extension was limit, not success.
Citation
- Authors
- Lee JS, Kim EH, Lee SH
- Title
- Endoscopically assisted malarplasty: L-rotation technique
- Journal
- J Stomatol Oral Maxillofac Surg. 2021;122(3):229-234 (online 15 August 2020)
- Identifiers
- PMID 32810601 · DOI 10.1016/j.jormas.2020.07.011
- Authorship
- First author
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