Treatment of Bilateral Macrostomia (Lateral Lip Cleft): Case Report

authors:

avatar Masoud Fallahinejad Ghajar 1 , avatar Ahmad Khaleghnejad-Tabari 2 , avatar Katayoun Salem 3 , *

Department of Pediatric and Hospital Dentistry, Shaid Beheshti University of Medical Sciences, Tehran, Iran
Department of Pediatric Surgery and Surgical Research Center, Mofid Hospital, Tehran, Iran
Department of Pediatric and Hospital Dentistry, Guilan Dental School, Rasht, Iran

how to cite: Fallahinejad Ghajar M, Khaleghnejad-Tabari A, Salem K. Treatment of Bilateral Macrostomia (Lateral Lip Cleft): Case Report. Iran J Pediatr. 2012;22(3): 425-427. 

Abstract

Background: Macrostomia 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 7th embryonic week.
Case Presentation: We 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.
Conclusion: Commissural repair through a linear flap can result in minimal visible scar with satisfying results in both esthetics and functional aspects.
 

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