Why Does A Gap Form After Zygoma Reduction Surgery?
A gap can form due to various factors such as:
-Thin bones not being able to withstand fixation screws/plates
-Lack of fixation pins/plates after surgery
-Experience/skills of the surgeon
Each clinic may have different types of surgical techniques and the surgeon's experience can vary. However, it is important that the zygoma bones do not move around after surgery, which is why fixating the bones are important. Although some surgical techniques such as quick zygoma reduction do not require fixation, patients need to keep in mind that they will be at risk of a gap appearing after surgery. The surgeon's skills are also as important, as the zygoma bones will be cut and then repositioned. During the repositioning process, a small gap must be made in order to reposition the bones. As the bones get moved, the gap will minimize. However, if the gap is too wide, it will be difficult to close it while repositioning the bones.
How Can A Gap Be Prevented & Treated?
It is always important to do research on each clinic's surgical method. Though methods such as quick zygoma reduction sound attractive due to surgery marks hardly being noticeable on X-rays, it has risks of the bone getting loose. It is strongly recommended to get surgery where the bones are fixated in place. If the zygoma bone gets loose and the bone moves, it will be difficult to open the mouth. In this case, revision surgery is needed to reposition the bones. After revision surgery, plates and screws will be needed to keep them from moving in the future.
Safety & Zygoma Reduction Method
EU Oral & Maxillofacial Surgery uses the high L-Osteotomy method. This method makes the cheekbones look smaller from the front, side, and at a 45-degree angle. By reducing the volume of the bones and fixating them in place after surgery, it allows for safer surgery and effective results. EU's high L-osteotomy technique minimizes the probability of cheek sagging with dual fixation. Two fixation plates and screws will be used on the zygoma bone, one on the front and one on the back. If both zygoma bones are operated on, there will be a total of 4 plates/screws (2 on each side).
In regards to safety, after going through a detailed and elaborate examination, doctors Jong-Yun Kim and Hee-Jin Shin make a diagnosis and specialized 1:1 surgery plan for each patient. As everyone's bone structure is different, the area that needs to be cut, along with the amount of reduction required varies for each person. This is why surgery must be carried out only after carefully considering the individual bone frame, location of the nerves, and understanding which area needs to be improved.
[WATCH: Dr. Shin Explains More in Depth]
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