Premaxillary augmentation: adjunct to rhinoplasty.
Recession of the premaxillary area is a relatively common deformity. Typically, it presents as a mild weakness of the central maxilla, but in certain instances, such as in the Black and Asian communities, it may be moderate to severe. This condition can be compounded by a narrow nasolabial angle, recessed alar bases, and sunken cheeks. To resolve this deficiency, a new design for premaxillary augmentation is suggested. A bat-shaped premaxillary implant is used for correction. The implant is introduced by means of an intranasal or intraoral approach, while the patient is under either local or general anesthesia. Thirty-three patients have been managed for premaxillary recession and have been corrected by premaxillary augmentation. Satisfactory cosmetic results have been achieved, with only a few minor complications.
Fanous
N
N
Department of Otolaryngology, Head and Neck Surgery, McGill University, Montreal, Canada.
Yoskovitch
A
A
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D019931:Maxillofacial Prosthesis Implantation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*