A patient visited On Clinic for zygoma revision surgery. This patient had previously undergone zygoma surgery at another hospital but was suffering from severe side effects. The CT scan results were shocking.
Serious Problems from Previous Surgery
Upon reviewing the patient's CT scans, several issues resulting from the previous surgery were revealed. A staggering 30 fixation pins were embedded in the zygoma area, and the bone was severely separated. Specifically, one zygoma had a large bone gap of approximately 15mm, leaving it in an unstable state. Dr. Myungjun Oh pointed out the severity, stating, "The bone gap extends from here to here, right? This is at least about 15mm." Such bone separation was causing not only aesthetic but also functional problems.
Furthermore, severe inflammation was observed in the surgical area. Dr. Oh explained the difficulties at the time, saying, "There was a lot of inflammation in the gum area during the surgery. Because of the extensive inflammation, even dissection was impossible." The inflammation made even the dissection process, which separates the skin from the bone, extremely challenging. The patient conveyed through an interpreter that they had experienced a throbbing and aching sensation in the area after the previous surgery. Dr. Oh empathized with the patient's pain, remarking, "Your gums must have hurt... I understood it during the surgery."
Dr. Myungjun Oh emphasized that fame does not guarantee surgical quality, stating, "They said the surgery was done at the most famous hospital in China, but it was just expensive, and all the bone gaps are open!" He added, "It's absurd to say that someone famous performed a surgery without even knowing such basic things. It's all 'empty fame,'" stressing the importance of fundamental anatomical knowledge and surgical principles.
On Clinic's Approach to Revision Surgery
On Clinic meticulously analyzed the patient's complex condition and formulated a revision surgery plan. A comprehensive approach was required, going beyond simply re-fixing the bone, to include treating inflammation, promoting bone fusion, and considering the stability of surrounding tissues. The surgery focused on correcting previous failures, repositioning the zygoma to its correct anatomical location, and securely fixing it.
- Promoting Bone Fusion: Minimized the separated bone gaps and encouraged natural bone fusion.
- Inflammation Management: Removed chronic inflammation and took measures to prevent recurrence.
- Precise Fixation: Ensured stability by using a minimal number of fixation pins, aligned with the bone's anatomical structure.
- Tissue Lifting: Prevented skin sagging by lifting the sagging retaining ligaments along with the change in bone position.
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Remarkable Transformation and Patient Satisfaction
Upon reviewing the post-revision surgery CT scans, the patient was astonished. The previous 15mm bone gap had completely fused, and the zygoma had returned to its original position, appearing stable. Dr. Oh confirmed the successful outcome, stating, "It's all perfectly fused." Looking at the CT scans, the patient exclaimed, "It's truly like magic!" and was deeply moved, saying, "I see it! The bone has really moved up!" Dr. Oh explained, "That's right. That's why the skin doesn't sag. The retaining ligaments were also lifted together," emphasizing how precise bone repositioning led to a skin-lifting effect.
The patient repeatedly expressed gratitude to Dr. Myungjun Oh, saying, "This is magic! Doctor, you are truly an excellent surgeon!" The interpreter conveyed that the patient said, "Even though it's revision surgery, the swelling is less, and it's not as severe as before!" They also expressed satisfaction with the surgery time and recovery process, remarking, "Before, the first surgery took all day, so it's amazing that this surgery could be done well in just two hours!"
This case demonstrates On Clinic's dedication, which goes beyond simply shaving or fixing bones, by understanding the patient's pain and achieving satisfactory results through accurate diagnosis and delicate surgery based on anatomical principles. It once again highlights the importance of reconstructive surgery, which can offer hope to patients suffering from side effects.
On Clinic Dr. Myungjun Oh | Last reviewed 2024-05-23