Commissure stabilization appliance in facial reanimation surgery

A modified maxillary appliance is described that provides an inexpensive intraoral method of commissure stabilization which effectively prevents transmission of stretching forces onto the delicate anastomoses and muscle insertion at the commissure and upper lip in the immediate and early postoperative period. It is well tolerated by the patient, does not interfere with eating, and may be carefully removed for periodic cleaning. It is a simple technique that adds an increased measure of flap security without any risk of morbidity.