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논문 기본 정보

자료유형
학술저널
저자정보
Young-Wook Park (College of Dentistry Gangneung-Wonju National)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제38권 제10호
발행연도
2016.10
수록면
1 - 5 (5page)
DOI
10.1186/s40902-016-0084-y

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Background: The dimensions and shape of the forehead determine the esthetics of the upper third of the face. Korean young people consider a broad and smooth, rounded forehead more attractive. As a result, frontalaugmentation becomes more popular in patients with dentofacial deformities. Various surgical procedures andmaterials have been used in frontal augmentation surgery, with associated advantages and disadvantages. Siliconeis a good candidate for frontal augmentation. The author presents two cases of esthetic frontal augmentation witha prefabricated silicone implant in female patients with dentofacial deformities. Case presentation: In case 1, a 24-year-old female patient underwent frontal augmentation surgery with simultaneousmaxillomandibular and zygomatic osteotomies to correct facial asymmetry. A silicone implant was fabricatedpreoperatively using a positive template stone mold of her forehead. In case 2, a 23-year-old female patient underwenttotal facial contouring surgery including frontal augmentation for improved facial esthetics. A computed tomography(CT)-guided rapid prototype (RP)model was used tomake the silicone implants. The operative procedure was safe andsimple, and the silicone implants were reliable for a larger degree of frontal augmentation. Six months later, both patientshad recovered from the surgery and were satisfied with their frontal shape and projection. Conclusions: Frontal augmentation with silicone implants can be an effective adjuvant strategy to improve facialesthetics in patients with a flat and narrow forehead who undergo orthognathic reconstruction or total facialcontouring surgery.

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