J Korean Soc Aesthetic Plast Surg.  2002 Mar;8(1):46-51.

Mandibular Angle Reduction By Selective Extraoral Approach

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Kon-Kuk University, Korea. jkchoi@kku.ac.kr

Abstract

For the aeshetic contouring of prominent mandibular angle, conventional resection of mandible angle through intraoral approach has been used commonly. And the sagittal resection of lateral cortex is being performed recently to reduce the lower width of square face in some cases. That is to say, the prominent mandibular angle is meant by not only posteroinferior projection as well as lateral bulging. But intraoral approach corrects the former more efficiently than the latter because of limited operation field. And sometimes, the conventional resection of the mandibular angle yields obtuse, unnatural angle. Still more, postoperative complications such as bleeding, swelling, pain are inescapable. Through extraoral approach, authors were simultaneously able to accomplish precise, sufficient resection of angle and sufficient burring of lateral cortical bone without difficulty and complication. With the incision along relaxed skin tension line and meticulous everted sutures, scars are acceptable. One patient needed scar revision afterward. And so it is reported with review of literatures.

Keyword

Mandibular angle reduction; Extraoral approach

MeSH Terms

Cicatrix
Hemorrhage
Humans
Mandible
Postoperative Complications
Skin
Sutures
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