Congenital bilateral macrostomia is a very rare deformity of the mouth, and it is still rarer to see Bilateral macrostomia, muscle repair, straight line closure. Congenital macrostomia is a relatively rare deformity. A number of different methods for its correction have been reported in the past. Here, we report our refined. Congenital macrostomia (transverse facial cleft) is a relatively rare anomaly. Surgical methods used to correct this anomaly include commissuroplasty.
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Both these reference points coincided [Figure 2]. The follow-up period in this retrospective study ranged from 3 to 21 years. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Br J Plast Surg ; This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
In the current case, a perpendicular line was dropped from the medial margin of the pupil, and the point at which the color of vermilion changes from normal vermilion to cleft vermilion was marked.
Straight line closure for correction of congenital isolated bilateral macrostomia
Macrostomia is a rare deformity with variations in its presentation. Two-month postsurgical photographs reveal the symmetry of commissures both at rest and at smiling with minimal scar Figures 3 and 4. Transverse facial clefts are more common in males and more common on the left side when unilateral. All these methods emphasize the importance of restoration of the integrity of cheek and lip muscle. To receive news and publication updates for Case Reports in Dentistry, enter your email address in the box below.
Twelve primary cases of macrostomia underwent surgical repair between and In conclusion, simple line closure is a technically simple procedure and macdostomia an esthetically pleasing scar without lateral migration or contraction in patients operated on at a young age.
Article Access Statistics Viewed: Triangular mucosal flaps will result in a natural looking commissure and can avoid transposition of the skin. Various surgical techniques have repiar proposed for the correction of macrostomia defects. This developmental aberration results from failure of fusion of the maxillary and macrostomoa processes of the first branchial arch [ 23 ]. Cleft Palate Craniofac J ; Vermilion square flap repairr 1920 ] prevents migration of commissure laterally and it prevents linear contracture of scar as well.
The upper muscle fibers of the deep layer decussate mavrostomia the lower lip, and the lower muscle fibers decussate into the upper lip.
This report presents the case of a 3-month-old boy with isolated bilateral macrostomia for whom straight line closure was performed on both sides. Both the points coincided, and the entire surgical correction was centered on these points. This also explains the frequent association of transverse cleft with developmental anomalies of the first and second branchial arches [ 2 ]. macrosttomia
Table of Contents Alerts. New surgical technique for macrostomia repair with two triangular flaps. Charles N Verheyden Annals of plastic surgery View at Google Scholar P.
Simple straight line closure or improper approximation of muscle bundles might result in fish mouth deformity. It is usually partial but rarely complete. A lazy W-plasty was designed for closure macrostoima the skin of the cleft cheek. Skin is closed with small Z-plasty. See all authors and affiliations.
Indexed in Web of Science. Scar on the lower lip becomes more conspicuous over time because of the tension that is created when the mouth is opened.
Orbicularis oris muscle is dissected from labial and mucosal sides. Natural contour macrostomla the oral commissure is obtained both at rest and during movement. The same method was applied to all 12 cases in the reconstruction of a natural appearance and dynamic function of the oral commissure, and the results over several years showed satisfactory outcomes.
Repair for Congenital Macrostomia: Vermilion Square Flap Method
Small Z-plasty for skin closure will avoid linear contractures. For skin closure, straight line or Z- or W-plasty [ 910 ] is used. Subscribe to Table of Contents Alerts. Table of Contents Alerts.
Incomplete union here results in macrostomia, which could be unilateral or bilateral. WilkesD A Kernahan Plastic and reconstructive surgery