Skip to main content

Advertisement

SpringerLink
Log in

Intraoral One-Stage Curved Osteotomy for the Prominent Mandibular Angle: A Clinical Study of 407 Cases

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Many Oriental people have a square face with a prominent mandibular angle. This article presents a good osteotomy method for the prominent mandibular angle (PMA).

Methods

Two modifications of the conventional procedures have been made. The first is a one-stage curved osteotomy for the mandibular angle. The second is nonresection of the masseter muscle. The surgical procedure has been performed using an intraoral approach with a direct field of vision.

Results

From October 1996 to December 2002, a total of 407 patients with PMA underwent surgery using this method with satisfactory results. The PMA osteotomy procedure was performed for only 248 patients. In addition, 29 patients received concurrent zygomatic reduction osteotomy, 38 patients underwent concurrent genioplasty, 41 patients had concurrent chin augmentation with excised PMA bone fragment, 2 patients received concurrent submental liposuction, and 39 patients underwent concurrent buccal fat pad resection.

Conclusion

The described method is a very simple procedure with fewer complications for the surgical treatment of PMA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Adams WM: Bilateral hypertrophy of the masseter muscle: An operation for correction (case report). Br J Plast Surg 2:78–80, 1949

    Google Scholar 

  2. Baek SM, Baek RM, Shin MS: Refinement in aesthetic contouring of the prominent mandibular angle. Aesth Plast Surg 18:283–289, 1994

    Article  CAS  Google Scholar 

  3. Baek SM, Kim SS, Bindiger A: The prominent mandibular angle: Preoperative management, operation technique, and results in 42 patients. Plast Reconstr Surg 83:272–278, 1989

    PubMed  CAS  Google Scholar 

  4. Beckers HL: Masseteric muscle hypertrophy and its intraoral surgical correction. J Maxillofac Surg 5:28–36, 1977

    Article  PubMed  CAS  Google Scholar 

  5. Converse JM: Deformities of the jaw. In: Converse JM (ed). Reconstructive plastic surgery. WB Saunders, Philadephia, pp 1406–1408, 1977

    Google Scholar 

  6. Deguchi M, Iio Y, Kobayashi K, et al. Angle-splitting ostectomy for reducing the width of the lower face. Plast Reconstr Surg 99:1831–1839, 1997

    PubMed  CAS  Google Scholar 

  7. Jin H, Kim BG: Mandibular angle reduction versus mandible reduction. Plast Reconstr Surg 114:1263–1269, 2004

    PubMed  Google Scholar 

  8. Han K, Kim J: Reduction mandibuloplasty: Ostectomy of the lateral cortex around the mandibular angle. J Craniofac Surg 12:314–325, 2001

    PubMed  CAS  Google Scholar 

  9. Roncevic R: Masseter muscle hypertrophy. J Maxillofac Surg 14:344–352, 1986

    Article  PubMed  CAS  Google Scholar 

  10. Yang DB, Song HS, Park CG: Unfavorable result and their resolution in mandibular contouring surgery. Aesth Plast Surg 19:93–102, 1995

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cranio Maxillo-Facial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, BaDaChu Road, Beijing, 100041, China

    Lai Gui M.D., Ph.D, Dong Yu M.D., Zhiyong Zhang M.D., L. V. Changsheng M.D., Xiaojun Tang M.D. & Zhongmei Zheng M.D.

Authors
  1. Lai Gui M.D., Ph.D
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dong Yu M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Zhiyong Zhang M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L. V. Changsheng M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Xiaojun Tang M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Zhongmei Zheng M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dong Yu M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gui, L., Yu, D., Zhang, Z. et al. Intraoral One-Stage Curved Osteotomy for the Prominent Mandibular Angle: A Clinical Study of 407 Cases. Aesth Plast Surg 29, 552–557 (2005). https://doi.org/10.1007/s00266-004-0149-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-004-0149-7

Keywords

Search

Navigation