Repair for Congenital Macrostomia: Vermilion Square Flap Method
Transverse facial clefts (macrostomia) are rare disorders that result when the embryonic mandibular and maxillary processes of the first branchial arch fail to fuse due to failure of mesodermal migration and merging to obliterate the embryonic grooves between the maxillary and mandibular processes t...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2014/480598 |
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| author | Renuka Dhingra Asheesh Dhingra Dipti Munjal |
| author_facet | Renuka Dhingra Asheesh Dhingra Dipti Munjal |
| author_sort | Renuka Dhingra |
| collection | DOAJ |
| description | Transverse facial clefts (macrostomia) are rare disorders that result when the embryonic mandibular and maxillary processes of the first branchial arch fail to fuse due to failure of mesodermal migration and merging to obliterate the embryonic grooves between the maxillary and mandibular processes to form the angle of the mouth at its normal anatomic position. Macrostomia may be seen alone or in association with other anomalies. It may be unilateral, extending along a line from the commissure to the tragus or bilateral. It is usually partial but rarely complete. Transverse facial clefts are more common in males and more common on the left side when unilateral. The goal of macrostomia reconstruction is to achieve functional, symmetrical, and accurate oral commissure with minimal scar. In this paper, we present a six-year-old girl with unilateral macrostomia with preauricular skin tags and malformation of pinna on ipsilateral side treated with vermillion-square flap method. The scar is placed at the upper lip. At two-month followup, the oral commissures are symmetric, the scars are inconspicuous, and the overall balance of facial contour and lip is excellent. We recommend this method for patients with mild to moderate macrostomia. |
| format | Article |
| id | doaj-art-dc1332d99db247e9b8d5175469019912 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-dc1332d99db247e9b8d51754690199122025-02-03T05:47:19ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/480598480598Repair for Congenital Macrostomia: Vermilion Square Flap MethodRenuka Dhingra0Asheesh Dhingra1Dipti Munjal2Department of Paedodontics and Preventive Dentistry, Maharaja Ganga Singh Dental College & Research Centre, Sri Ganganagar, Rajasthan 335002, IndiaJeewan Multispeciality Centre, 414/4 Jacobpura, Gurgaon 122001, IndiaDepartment of Paedodontics and Preventive Dentistry, Maharaja Ganga Singh Dental College & Research Centre, Sri Ganganagar, Rajasthan 335002, IndiaTransverse facial clefts (macrostomia) are rare disorders that result when the embryonic mandibular and maxillary processes of the first branchial arch fail to fuse due to failure of mesodermal migration and merging to obliterate the embryonic grooves between the maxillary and mandibular processes to form the angle of the mouth at its normal anatomic position. Macrostomia may be seen alone or in association with other anomalies. It may be unilateral, extending along a line from the commissure to the tragus or bilateral. It is usually partial but rarely complete. Transverse facial clefts are more common in males and more common on the left side when unilateral. The goal of macrostomia reconstruction is to achieve functional, symmetrical, and accurate oral commissure with minimal scar. In this paper, we present a six-year-old girl with unilateral macrostomia with preauricular skin tags and malformation of pinna on ipsilateral side treated with vermillion-square flap method. The scar is placed at the upper lip. At two-month followup, the oral commissures are symmetric, the scars are inconspicuous, and the overall balance of facial contour and lip is excellent. We recommend this method for patients with mild to moderate macrostomia.http://dx.doi.org/10.1155/2014/480598 |
| spellingShingle | Renuka Dhingra Asheesh Dhingra Dipti Munjal Repair for Congenital Macrostomia: Vermilion Square Flap Method Case Reports in Dentistry |
| title | Repair for Congenital Macrostomia: Vermilion Square Flap Method |
| title_full | Repair for Congenital Macrostomia: Vermilion Square Flap Method |
| title_fullStr | Repair for Congenital Macrostomia: Vermilion Square Flap Method |
| title_full_unstemmed | Repair for Congenital Macrostomia: Vermilion Square Flap Method |
| title_short | Repair for Congenital Macrostomia: Vermilion Square Flap Method |
| title_sort | repair for congenital macrostomia vermilion square flap method |
| url | http://dx.doi.org/10.1155/2014/480598 |
| work_keys_str_mv | AT renukadhingra repairforcongenitalmacrostomiavermilionsquareflapmethod AT asheeshdhingra repairforcongenitalmacrostomiavermilionsquareflapmethod AT diptimunjal repairforcongenitalmacrostomiavermilionsquareflapmethod |