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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Nasal intubation was used for general anaesthesia.

Macrostomia: A Review of Evolution of Surgical Techniques

Straight line closures are ideal where transverse deficiency of cheek is minimal. In this report, the straight line repair of isolated bilateral congenital macrostomia is presented for the first time. This also explains the frequent association of transverse cleft with developmental anomalies of the first and second branchial arches [ 2 ].

Br J Plast Surg ; The aesthetic outcome of these surgeries depends not only on the placement of scars along the natural skin creases but also on their showup during facial expressions.

Skin is closed with small Z-plasty. The point of new commissure must be predetermined with accuracy and preoperative markings of the normal landmarks are very macrostmia.

At 12 months follow-up, there was no lateral migration and the aesthetic appearance was satisfactory with good oral competence [ Figures 6 and 7 ]. The surgical correction of macrostomia results in normal orbicularis oris function and symmetry of the repaired lip. Other etiopathogeneses have been given including those of Mckenzie and Craig [ 4 ] who believe the defects of the first branchial arch arise from inadequate arterial blood supply occurring during a period of rapid and critical facial growth and development.


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Bilateral macrostomia as an isolated pathology. At 2-month followup, the oral commissures are symmetric. Straight line closure of congenital macrostomia. This macroztomia 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.

Case report A 3-month-old male child presented to us for definitive correction of congenital bilateral macrostomia [Figure 1]. After a thorough evaluation to rule out any associated anomalies, the child was scheduled for surgical correction.

Repair for Congenital Macrostomia: Vermilion Square Flap Method

Antenatal and birth history was nonsignificant. Ann Plast Surg ; Patient was posted for surgery under general anesthesia with nasal intubation with north pole tube. At two-month followup, the oral commissures are symmetric, the scars are inconspicuous, and the overall balance of facial contour and lip is excellent.

New surgical technique for macrostomia repair with two triangular flaps. The ideal outcome of surgery is the result of proper placement of scars between different aesthetic subunits of face.

WilkesD A Kernahan Plastic and reconstructive surgery A 3-month-old male child presented to us for definitive correction of congenital bilateral macrostomia [Figure 1].


The surgical methods for repairing congenital macrostomia should be carefully selected from both functional and aesthetic points of view. Table of Contents Alerts. Department of Plastic Surgery and Burns, St. Keywords Bilateral macrostomia, muscle repair, straight line closure. Preoperative photographs showing the frontal and lateral view of the patient.

Almost all of these patients had other associated anomalies making isolated cases a rarity.

The advantage of repir technique is that the position of the commissure of the mouth can be adjusted intraoperatively according to the extent of macrostomia. Reference points from the noncleft side are marked and transposed those into the cleft side to achieve symmetry. Case Report A 6-year-old female patient visited the Department of Pedodontics and Preventive Dentistry with a chief complaint of wide mouth opening and preauricular skin tags since birth Figures 1 a and 1 b.

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. Introduction Macrostomia is a rare congenital deformity with an incidence of 1 repzir 60, to 1 inlive births [ 12 ].

The deep layer of orbicularis oris muscle consists of fibers that arise from other facial muscles.