Moreno-Penagos G, Lezama RMA, Saade SAJ, Santiago AA

Language: Spanish
References: 12
Page: 146-151
PDF size: 130.70 Kb.

ABSTRACT

The aim of this study is to describe our surgical technique for macrostoma repair. Between 1990 and 2003 a total of 25 patients, 16 women and 9 men between 7 months and 15 years old with macrostoma, who presented craniofacial malformations with unilateral or bilateral macrostoma. were analyzed, the main diagnosis was first and second branchial archs syndrome in 11, Goldenhar’s syndrome in 10, hemifacial microsomia in 3 and Treacher Collins’ syndrome in 1, associated to preauricular appendices, microtias, pallate fissure, IAC, teratoma and anorectal malformations. In 14 cases right macrostoma were found, in 8 left and 3 bilateral. The surgical technique consisted of marking specific anatomical points on the mucosa of the lips on the healthy side and the defective side, we exchanged flaps achieving closure of the defect. Two Z inverted plasties were performed in the skin. The follow-up was 2 years 2 months, with no complications, only one reoperation for redundant mucosa and hypertrophic scar. The proposed surgical technique is adequate, with no morbidity and is easy to perform.

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