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Congenital macrostomia: a case report.
Ayşe Ozlem Gündeşlioğlu1, Bilsev Ince
1Department of Plastic, Reconstructive and Aesthetic Surgery, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey. ataselan@yahoo.com.tr
Summary
Macrostomia, a congenital mouth condition, can be effectively treated using the vermillion-square flap technique. This method offers functional and symmetrical results for isolated cases, particularly in mild to moderate presentations.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Macrostomia is frequently linked to first and second branchial arch syndromes, presenting varied appearances based on affected areas.
- Isolated macrostomia cases typically show a cleft extending to the masseter muscle's medial border.
- Reconstruction aims for functional, symmetrical mouth commissures with minimal scarring.
Observation:
- This study details the case of an eight-year-old girl with isolated bilateral macrostomia.
- The patient underwent surgical correction using the vermillion-square flap method.
Findings:
- The vermillion-square flap technique was successfully employed to reconstruct the bilateral macrostomia.
- The surgical outcome achieved a functional and symmetrical mouth commissure.
Implications:
- The vermillion-square flap method is recommended for treating mild to moderate isolated macrostomia.
- This technique offers a viable surgical option for improving oral function and aesthetics in affected children.
