Abstract

Macrostomia is a rare congenital anomaly characterized by enlargement of mouth at oral commissure. It is also known as tessier cleft 7. There are various techniques described for achieving optimal function and aesthetic results. We describe inferiorly based vermillion square flap with z plasty on the skin for correction of macrostomia. Methods A retrospective analysis of 7 patients with macrostomia operated over a period of last 9 year were included in the study. All operations were conducted by senior surgeon. Pre operative and post operative documentation was done by photography. Age at presentation, operative technique and outcome were analyzed. Parameters used for assessing outcome are position of commissure, symmetry, thickness of vermilion, scar result. Results In all the patients repaired with myoplasty and modified lower vermillion square flap, lip commissure was formed with satisfactory shape, position, thickness with no commissure contracture. One patient had hypertrophy scar. Conclusion Inferiorly based vermillion square flap with z plasty method produces satisfactory aesthetic and functional result in all patients.

Description