Macrostomia Research Articles

Vermilion Square Flap for Correction of Bilateral Macrostomia-A Case Report

Congenital bilateral macrostomia, a transverse facial cleft, is a rare deformity of the mouth; when it occurs, it is usually unilateral. Many procedures have been developed for correction of macrostomia and most of them use the noncleft side to mark the reconstructed commissural position. In cases of bilateral forms, the surgeon must define the commissural position without a normal side as a reference. Most of the reported procedures place the scars at the mouth angle or at the lower lip, which result in an unnatural appearance. We report a successful correction for a 4-month-old baby girl with bilateral macrostomia using vermilion square flap technique. The scar is placed at the upper lip. At one month follow-up, the oral commissures are symmetric, the scars are inconspicuous, and the overall balance of facial contour and lip is excellent.

Isolated Bilateral Macrostomia: Case Series and Review of Literature

Macrostomia is a rare congenital anomaly of the face, especially the isolated type. This report aims to document our experience inmanaging this rare pathology. All consecutive cases of children managed for isolated bilateral macrostomia at the Jos UniversityTeachingHospitalwere retrospectively reviewed. Five patients, aged between 10 weeks and 30 months were managed. They were all females and presentedwith bilateral symmetrical transverse lateral facial cleft (macrostomia). There were no associated anomalies, and no family history of facial clefts or any other congenital anomaly. All the patients had repair of the defect under a general anaesthesiawith satisfactory outcome. Macrostomia can present as an isolated entity. The final outcome of the repair depends on the technique of repair, function of the orbicularis oris muscle and the quality of scar. Keywords : Macrostomia; Facial cleft;Neocommissure. African Journal of Paediatric Surgery Vol. 4 (1) 2007: pp. 41-45

Macrostomia. (Spanish)

Macrostomia. (Spanish)

Commissuroplasty and myoplasty for macrostomia

Commissuroplasty and myoplasty for macrostomia