title: [Correction of prominent malar complex by L-type osteotomy].
abstract: OBJECTIVE
  To present a new method for correction of prominent malar complex by L-shaped osteotomy through an intraoral incision.
  
  
  METHODS
  Based on the anatomical characteristics of the malar complex, we designed a new L-shaped osteotomy for malar eminence reduction. The procedure includes oblique incision of the upper part of the mala, vertical incision of the anterior part of the mala and "greenstick" fracture of the zygomatic arches. According to the severity of malar prominence, we resect part of the anterior-inferior part of the mala and lower the malar complex.
  
  
  RESULTS
  This method was used in 39 patients with prominent malar complex. Of them, 32 were symmetrical and 7 were unsymmetrical. All the patients obtained good results.
  
  
  CONCLUSIONS
  L-shaped osteotomy for correction of prominent malar complex is a relatively ideal surgical method with the advantages of simpler manipulation, fewer complications, better result, and ensuring the intactness of the structural characteristics of the malar complex.
authors.affiliation: Craniomaxillofacial Department, Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100041, China.
authors.forename: Lai
authors.initials: L
authors.lastname: Gui
authors.forename: Cheng
authors.initials: C
authors.lastname: Deng
authors.forename: Zhiyong
authors.initials: Z
authors.lastname: Zhang
authors.forename: Li
authors.initials: L
authors.lastname: Tent
authors.forename: Lvping
authors.initials: L
authors.lastname: Huang
authors.forename: Ji
authors.initials: J
authors.lastname: Jin
authors.forename: Feng
authors.initials: F
authors.lastname: Niu
authors.forename: Bing
authors.initials: B
authors.lastname: Yu
authors.forename: Ying
authors.initials: Y
authors.lastname: Ji
authors.forename: Jinchao
authors.initials: J
authors.lastname: Luo
authors.forename: Delin
authors.initials: D
authors.lastname: Xia
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome; D015050:Zygoma / Q000601:surgery*