Commissural symmetry in unilateral transverse facial cleft patients: an anthropometric study.

Surgical repair of transverse facial cleft

Summary Introduction Congenital macrostomia, a transverse facial cleft, is a rare deformity of the mouth, which can occur alone or in association with other deformities. We report a case of congenital bilateral macrostomia. We discuss the difficulties of plastic surgery in this pathology. Observation Congenital macrostomia in a one-year-old girl compromised feeding. The patient presented an isolated bilateral transverse facial cleft. Surgery associated a suture of the orbicularis oris muscle and a cutaneous W plasty. At twelve months, follow-up has been uneventful. Discussion Congenital macrostomia is most commonly associated with others anomalies. Many procedures are described regarding surgical correction of macrostomia. Reconstruction of the integrity of the oral sphincter associated with W plasty usually gives the best results.

Macrostomie congénitale bilatérale

Introduction: The incidence of craniofacial microsomia is 1 in 5600 live births. This is the second most common craniofacial anomaly after cleft lip and palate. Tessier cleft 7 is associated with 17% to 62% of cases of hemifacial microsomia. It begins on the labial commissure and may extend to the pre-auricular capillary line. Deformities of the external ear range from excessive pre-auricular skin to complete absence of the ear. Commissuroplasty is indicated in patients with macrostomia or true lateral facial cleft. The objective is to present two cases of macrostomia and perform a review of related literature. Methods: In this study, we describe two cases of macrostomia treated with mucous flaps and zetaplasty. Results: We obtained optimal repositioning of labial commissures in two patients, with excellent aesthetic results. Conclusion: The technique used is easily reproducible, and aesthetically and functionally corrects macrostomia. ■ ABSTRACT

Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review

:The objective of this study was to determine whether the direction of Z-plasty limbs incorporated into the surgical repair for macrostomia had a significant influence on the quality of the resultant scar. A total of 41 patients who underwent macrostomia repair by means of the same technique

Surgical repair for macrostomia: significance of Z-plasty limb directions.

Surgical repair of horizontal facial cleft: report of case.

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Surgical repair of horizontal facial cleft: report of case.