Recession of the premaxillary area is a relatively common deformity. Typically, it presents as a mild weakness of the central maxilla, but in certain instances, such as in the Black and Asian communities, it may be moderate to severe. This condition can be compounded by a narrow nasolabial angle, recessed alar bases, and sunken cheeks. To resolve this deficiency, a new design for premaxillary augmentation is suggested. A bat-shaped premaxillary implant is used for correction. The implant is introduced by means of an intranasal or intraoral approach, while the patient is under either local or general anesthesia. Thirty-three patients have been managed for premaxillary recession and have been corrected by premaxillary augmentation. Satisfactory cosmetic results have been achieved, with only a few minor complications.
From the Department of Otolaryngology, Head and Neck Surgery, McGill University.
Received for publication July 15, 1999;
revised February 8, 2000.
Nabil Fanous, M.D., F.R.C.S. 1 Westmount Square, Suite 1380 Montreal, Quebec H3Z 2P9, Canada
The senior author receives the preliminary implants free of charge for his personal use only. He has no financial gain from the sale of the implant to other physicians.