{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T04:35:36Z","timestamp":1776746136986,"version":"3.51.2"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Reduction malarplasty has been popular among Asians with a wide facial width. In general, malar setback after bony resection is regarded as the standard objective of reduction malarplasty. However, unnecessary bony resection may lead to various postoperative complications. Therefore, we suggest the use of reduction malarplasty without bony resection to achieve a similar narrowing effect of the facial width, based on radiographic analysis of malar arch movement.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients and Methods:<\/jats:title>\n            <jats:p>This retrospective study analyzed 48 patients with a wide midface who underwent reduction malarplasty between September 2018 and December 2019. We included 40 cases of advancement repositioning malarplasty (AR) without bony resection and 8 cases of setback reduction malarplasty (SR) with bony resection. The three-dimensional position of the malar arch expressed by coordinates (x, y, and z) on three-dimensional computed tomography scans was used to compare the positional change between the surgical methods. The paired <jats:italic toggle=\"yes\">t<\/jats:italic>-test, Wilcoxon text, and independent <jats:italic toggle=\"yes\">t<\/jats:italic>-test were used in data analysis, and statistical analysis was performed using SPSS 23.0 software.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Medial and superior movement of the freed malar arch segment was significantly different between AR and SR (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05). Although medialization and superiorization were not significantly different between AR and SR, there was a significant difference in anterior-posterior movement between AR and SR (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>The radiologic analysis based on malar arch movement between AR and SR showed similar narrowing effects on medialization and superiorization of the malar arch regardless of bony resection. Therefore, the AR can be effectively applied in case of arch dominant type or malar asymmetry. In addition, further comprehensive study including analysis on movement of facial soft tissue following malar bony movement is expected based on this study in near future.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/scs.0000000000007168","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T14:26:23Z","timestamp":1605104783000},"page":"1307-1310","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Radiologic Analysis of Malar Arch Movement in Reduction Malarplasty Without Bony Resection"],"prefix":"10.1097","volume":"32","author":[{"given":"Jae-Hee","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoon Young","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae-Yong","family":"Jeong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taek-Kyun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,11,10]]},"reference":[{"key":"R1-20250803","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/BF01571117","article-title":"Reduction malar plasty","volume":"7","author":"Onizuka","year":"1983","journal-title":"Aesthetic Plast Surg"},{"key":"R2-20250803","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/00006534-199107000-00009","article-title":"Reduction malarplasty","volume":"88","author":"Baek","year":"1991","journal-title":"Plast Reconstr Surg"},{"key":"R3-20250803","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/00000637-199102000-00009","article-title":"Prominent zygoma in orientals: classification and treatment","volume":"26","author":"Uhm","year":"1991","journal-title":"Ann Plast Surg"},{"key":"R4-20250803","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1097\/00006534-200012000-00011","article-title":"Reduction malarplasty through an intraoral incision: a new method","volume":"106","author":"Kim","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"R5-20250803","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1007\/s00266-010-9600-0","article-title":"Reduction malarplasty using an l-shaped osteotomy through intraoral and sideburns incisions","volume":"35","author":"Jin","year":"2011","journal-title":"Aesthetic Plast Surg"},{"key":"R6-20250803","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s00266-016-0635-8","article-title":"Bone resection versus setback in reduction malarplasty: a quantitative analysis of the migration of the summit of the zygoma","volume":"40","author":"Lee","year":"2016","journal-title":"Aesthetic Plast Surg"},{"key":"R7-20250803","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s00266-016-0723-9","article-title":"Revision surgery for zygoma reduction: causes, indications, solutions, and results from a 5-year review of 341 cases","volume":"41","author":"Lee","year":"2017","journal-title":"Aesthetic Plast Surg"},{"key":"R8-20250803","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/SAP.0000000000000913","article-title":"Postoperative complications associated with reduction malarplasty via intraoral approach","volume":"78","author":"Myung","year":"2017","journal-title":"Ann Plast Surg"},{"key":"R9-20250803","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/00000637-199810000-00009","article-title":"Maxillozygional anthropometric landmark: a new morphometric orientation point in the upper face","volume":"41","author":"Nechala","year":"1998","journal-title":"Ann Plast Surg"},{"key":"R10-20250803","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1016\/j.joms.2014.02.029","article-title":"Reduction malarplasty according to esthetic facial unit analysis: Retrospective clinical study of 23 cases","volume":"72","author":"Kim","year":"2014","journal-title":"J Oral Maxillofac Surg"},{"key":"R11-20250803","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1002\/ar.23469","article-title":"Ancestral variations in the shape and size of the zygoma","volume":"300","author":"Oettl\u00e9","year":"2017","journal-title":"Anat Rec"},{"key":"R12-20250803","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1016\/j.jcms.2016.07.011","article-title":"Reduction malarplasty by bidirectional wedge ostectomy or two percutaneous osteotomies according to zygoma protrusion type","volume":"44","author":"Baek","year":"2016","journal-title":"J Cranio-Maxillofac Surg"},{"key":"R13-20250803","doi-asserted-by":"crossref","first-page":"89","DOI":"10.14730\/aaps.2013.19.2.89","article-title":"Concept of reduction malarplasty","volume":"19","author":"Lee","year":"2013","journal-title":"Arch Aesthetic Plast Surg"},{"key":"R14-20250803","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1097\/SCS.0000000000006227","article-title":"Simultaneous surgery for contouring the prominent zygoma and mandibular angles with facelift in middle-aged patients","volume":"31","author":"Zhou","year":"2020","journal-title":"J Craniofac Surg"},{"key":"R15-20250803","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1097\/SCS.0000000000002789","article-title":"The mini-zygoma reduction surgery","volume":"27","author":"Park","year":"2016","journal-title":"J Craniofac Surg"},{"key":"R16-20250803","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1007\/s00266-017-0879-y","article-title":"Reduction malarplasty that uses malar setback without resection of malar body strip","volume":"41","author":"Yang","year":"2017","journal-title":"Aesthetic Plast Surg"},{"key":"R17-20250803","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1097\/SCS.0000000000001199","article-title":"Rotation technique of reduction malar plasty","volume":"26","author":"Choung","year":"2015","journal-title":"J Craniofac Surg"},{"key":"R18-20250803","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1097\/PRS.0b013e31821eb58e","article-title":"An anatomical study on the position of the summit of the zygoma: theoretical bases for reduction malarplasty","volume":"128","author":"Nagasao","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"R19-20250803","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1097\/SCS.0000000000006592","article-title":"Three-dimensional evaluation on cortical bone during orthodontic surgical treatment","volume":"31","author":"Crimi","year":"2020","journal-title":"J Craniofac Surg"},{"key":"R20-20250803","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.bjps.2011.10.019","article-title":"Three-dimensional assessment of zygomatic malunion using computed tomography in patients with cheek ptosis caused by reduction malarplasty","volume":"65","author":"Baek","year":"2012","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R21-20250803","doi-asserted-by":"crossref","first-page":"e111","DOI":"10.1016\/j.bjps.2011.12.032","article-title":"The boomerang osteotomy \u2013 a new method of reduction malarplasty","volume":"65","author":"Nakanishi","year":"2012","journal-title":"J Plast Reconstr Aesthetic Surg"},{"key":"R22-20250803","doi-asserted-by":"crossref","first-page":"2490","DOI":"10.1097\/SCS.0000000000005860","article-title":"Optimal fixation location in intraoral reduction malarplasty using an l-shaped osteotomy","volume":"30","author":"Kim","year":"2019","journal-title":"J Craniofac Surg"},{"key":"R23-20250803","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.1097\/SCS.0000000000006591","article-title":"Optimal fixation location in intraoral reduction malarplasty using an L-shaped osteotomy: comment","volume":"31","author":"Du","year":"2020","journal-title":"J Craniofac Surg"}],"container-title":["Journal of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000007168","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T17:32:27Z","timestamp":1754242347000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000007168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,10]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/scs.0000000000007168","relation":{},"ISSN":["1049-2275","1536-3732"],"issn-type":[{"value":"1049-2275","type":"print"},{"value":"1536-3732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,10]]}}}