Treatment of bilateral macrostomia (lateral lip cleft): case report

• Published in: Iranian journal of pediatrics Vol. 22; no. 3; pp. 425 - 427
• Main Authors: Khaleghnejad-Tabari, Ahmad, Salem, Katayoun, Ghajar, Masoud Fallahinejad
• Format: Report
• Language: English
• Published: 01-09-2012
• ISSN: 2008-2142

BACKGROUNDMacrostomia as a rare facial deformity is classified among facial clefts. It originates from failure in union of maxillary and mandibular prominences of first brachial arch during 7(th) embryonic week. CASE PRESENTATIONWe report a case of bilateral macrostomia (bilateral lip cleft) in a female newborn as a sole entity without other skeletal and facial deformities. The cleft was repaired by a simple linear triangular flap using extra oral landmarks to locate lip commissures. Patient was followed through a six-month period. Acceptable results were gained in mouth appearance as well functional aspects. CONCLUSIONCommissural repair through a linear flap can result in minimal visible scar with satisfying results in both esthetics and functional aspects.