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

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 p...

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Main Authors: Guilherme Gurgel do Amaral Teles, Daniel Marques Perfeito
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2016-06-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1747/en_v31n2a22.pdf
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author Guilherme Gurgel do Amaral Teles
Daniel Marques Perfeito
author_facet Guilherme Gurgel do Amaral Teles
Daniel Marques Perfeito
author_sort Guilherme Gurgel do Amaral Teles
collection DOAJ
description 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.
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spelling doaj.art-b46688749a354c638e740569f55397412023-12-03T12:17:29ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-06-01310227327710.5935/2177-1235.2016RBCP0044Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature reviewGuilherme Gurgel do Amaral Teles0Daniel Marques Perfeito1Hospital dos Defeitos da Face, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: 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.http://www.rbcp.org.br/export-pdf/1747/en_v31n2a22.pdfmacrostomiacleft lipcleft palatecraniofacial abnormalitiesreconstructive surgical procedures
spellingShingle Guilherme Gurgel do Amaral Teles
Daniel Marques Perfeito
Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review
Revista Brasileira de Cirurgia Plástica
macrostomia
cleft lip
cleft palate
craniofacial abnormalities
reconstructive surgical procedures
title Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review
title_full Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review
title_fullStr Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review
title_full_unstemmed Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review
title_short Surgical correction of unilateral and bilateral congenital macrostomia: a case report and literature review
title_sort surgical correction of unilateral and bilateral congenital macrostomia a case report and literature review
topic macrostomia
cleft lip
cleft palate
craniofacial abnormalities
reconstructive surgical procedures
url http://www.rbcp.org.br/export-pdf/1747/en_v31n2a22.pdf
work_keys_str_mv AT guilhermegurgeldoamaralteles surgicalcorrectionofunilateralandbilateralcongenitalmacrostomiaacasereportandliteraturereview
AT danielmarquesperfeito surgicalcorrectionofunilateralandbilateralcongenitalmacrostomiaacasereportandliteraturereview