Treatment of Bilateral Macrostomia (Lateral Lip Cleft): Case Report

AUTHORS

Masoud Fallahinejad Ghajar 1 , Ahmad Khaleghnejad-Tabari 2 , Katayoun Salem 3 , *

1 Department of Pediatric and Hospital Dentistry, Shaid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Pediatric Surgery and Surgical Research Center, Mofid Hospital, Tehran, Iran

3 Department of Pediatric and Hospital Dentistry, Guilan Dental School, Rasht, Iran

How to Cite: Fallahinejad Ghajar M, Khaleghnejad-Tabari A, Salem K. Treatment of Bilateral Macrostomia (Lateral Lip Cleft): Case Report, Iran J Pediatr. 2015 ; 22(3):425-427.

ARTICLE INFORMATION

Iranian Journal of Pediatrics: 22 (3); 425-427
Published Online: September 30, 2012
Article Type: Rapid Communication
Received: April 16, 2011
Accepted: January 06, 2012

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Abstract

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 7th 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.

 

Keywords

Cleft Lip Macrostomia Maxillofacial Abnormalities Congenital Structural Deformity

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