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

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 fe...

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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
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Abstract 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.
AbstractList 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.
Author Salem, Katayoun
Khaleghnejad-Tabari, Ahmad
Ghajar, Masoud Fallahinejad
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  givenname: Masoud Fallahinejad
  surname: Ghajar
  fullname: Ghajar, Masoud Fallahinejad
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Snippet BACKGROUNDMacrostomia as a rare facial deformity is classified among facial clefts. It originates from failure in union of maxillary and mandibular prominences...
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