Case Report 8

Cheek Bone Augmentation
(Malar Onlay)

Figure 1 Figure 2 post operation. pre operation.   Outcome - 36 months

Case Summary 1. Implant stable @ 40 months (May 2002) 2. No major surgery required - aesthetic intraoral and eyebrow incisions. 3. No second donor surgical site required to effect primary reconstruction. 4. Surgery time - 45 minutes in the operating theatre. 5. No Intensive care required. 6. Enhanced rehabilitation. 7. Reduction in morbidity. 8. Significant Cost Savings for Purchasers of Health Care. Comment Stereoscopic lithography confirmed that the cause of facial asymmetry was related to abnormal growth (malar hypoplasia) and not a malunited fracture. Facial contour was manipulated using a technique called photomorphanalysis and digital photography. This was useful in obtaining informed consent and the patient was shown a prediction of the outcome of surgery. This technique permitted great precision in the correction of a midface deformity with minimal access techniques, and obviated the need for major surgery.