A Rare Complication of Reduction Malarplasty

Abstract: In this report, the authors introduce a rare complication after reduction malarplasty in a 21-year-old male patient. The patient underwent two-jaw surgery and reduction malarplasty at a local plastic surgery clinic in December 2012. He presented with mass-like swelling of the left temporomandibular joint (TMJ) and a clicking sound with jaw movement that began 5 months after surgery. Physical examination, ultrasonography, and enhanced facial 3-dimensional computed tomography indicated suspicion of TMJ capsule injury. Therefore, mass excisional biopsy was performed with plate and screw removal. Biopsy results of the excised cystic mass revealed bursitis. The patient’s symptoms disappeared after surgery. This is the first report of bursitis as a rare complication after reduction malarplasty. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.