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Treatment of bilateral macrostomia (lateral lip cleft): case report
Ahmad Khaleghnejad-Tabari1, Katayoun Salem, Masoud Fallahinejad Ghajar
1Department of Pediatric Surgery and Surgical Research Center, Mofid Hospital, Tehran, Iran.
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 7(th) 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.
