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[Bilateral congenital macrostomia].
M Mahtar1, A Benjelloun, A Chekkoury Idrissi
1Service de stomatologie et chirurgie maxillofaciale, hôpital du 20-août, CHU Ibn-Rochd, Casablanca, Morocco. mahtar@caramail.com
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|February 13, 2007
Summary
Congenital macrostomia, a rare bilateral facial cleft, can impair feeding. Surgical correction involving orbicularis oris muscle repair and W plasty offers favorable outcomes for this congenital mouth deformity.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Congenital macrostomia is a rare transverse facial cleft, potentially associated with other anomalies.
- This condition can present as an isolated defect or part of a complex syndrome.
- Early diagnosis and intervention are crucial for optimal outcomes.
Observation:
- A case of congenital bilateral macrostomia in a one-year-old girl is presented.
- The condition significantly impacted the patient's feeding abilities.
- The patient had an isolated bilateral transverse facial cleft.
Findings:
- Surgical correction involved the precise suture of the orbicularis oris muscle.
- A cutaneous W plasty technique was employed for reconstruction.
- Postoperative follow-up at twelve months showed an uneventful recovery.
Implications:
- Reconstruction of the oral sphincter's integrity is key for functional restoration.
- The combination of muscle repair and W plasty yields optimal results in macrostomia correction.
- This case highlights effective surgical strategies for managing congenital macrostomia.
