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Commissuroplasty Using Split Dry Lips: A Case Report
Takeo Osaki1, Saki Kamino1, Nobuyuki Murai1
1Plastic Surgery, Hyogo Cancer Center, Akashi, JPN.
Cureus
|April 13, 2023
Summary
This study presents a novel commissuroplasty technique using split dry lips to treat microstomia. The procedure successfully improved oral commissure deformities and mouth opening, enabling denture use.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Microstomia, a condition characterized by reduced mouth opening, can result from various causes, including postoperative complications.
- Corrective surgical interventions like commissuroplasty aim to restore oral function and aesthetics.
- Traditional commissuroplasty techniques may have limitations in addressing severe deformities.
Observation:
- A case of postoperative microstomia presented with significant oral commissure deformities.
- The surgical approach involved a novel commissuroplasty technique utilizing split dry lip flaps.
- The orbicularis oris muscle and cutaneous tissues were divided and repositioned into the cleft.
Findings:
- The split dry lip commissuroplasty effectively corrected the deformities at the corners of the mouth.
- Postoperative assessment revealed significant improvement in mouth opening.
- The patient's improved oral aperture allowed for successful denture use.
Implications:
- This innovative commissuroplasty technique offers a viable solution for managing microstomia.
- The described method successfully combines functional restoration with aesthetic enhancement.
- This approach may be beneficial for patients requiring correction of oral commissure deformities.
