Macrostomia

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Junpei Miyamoto - One of the best experts on this subject based on the ideXlab platform.

  • refined simple line closure for Macrostomia repair designing a mucosal triangular flap on the commissure region
    Journal of Cranio-maxillofacial Surgery, 2009
    Co-Authors: Makoto Hikosaka, Tatsuo Nakajima, Hisao Ogata, Junpei Miyamoto
    Abstract:

    Congenital Macrostomia is a relatively rare deformity. A number of different methods for its correction have been reported in the past. Here, we report our refined method of correcting Macrostomia. Our method is characterized by creation of a small triangular mucosal flap on the cleft region of the lower red lip where the tissue appears identical to the normal commissure. Adequate advancement of this flap into the mouth along with proper reconstruction of muscle continuity and simple line closure of the skin enable correction of Macrostomia with a natural-looking commissure in a symmetric position with an acceptable scar.

Ilse Mombaerts - One of the best experts on this subject based on the ideXlab platform.

  • Use of the Masquerade Flap in Ablepharon-Macrostomia Syndrome: A Case Report.
    Cornea, 2018
    Co-Authors: Karolien Hollanders, Ingele Casteels, Sylvie Vandelanotte, Rudolf Reyniers, Katarina Segers, Thomas Nevens, Ilse Mombaerts
    Abstract:

    PURPOSE To report a case of ablepharon-Macrostomia syndrome and surgical treatment options. METHODS Case report and literature review. RESULTS A prematurely born male baby presented with severe ablepharon, hypertelorism, Macrostomia, low-set dysplastic ears, broad nasal bridge, coarse and redundant body skin, absent scalp and body hair, lax abdominal wall, absent nipples, camptodactyly, and ambiguous genitalia. Despite intensive ocular lubrication, severe exposure keratopathy developed within the first days after birth. The eyes were closed using masquerade flaps for 6 weeks. In a secondary procedure at the adjusted age of 3 weeks, the flaps were partially divided, and visual input and development were successfully achieved, while maintaining corneal protection. CONCLUSIONS We present a rare case of a prematurely born infant with a severe phenotype of ablepharon-Macrostomia syndrome, surgically treated with masquerade flaps to preserve corneal health and allow bilateral visual input.

Tohru Tateshita - One of the best experts on this subject based on the ideXlab platform.

  • New surgical technique for Macrostomia repair with two triangular flaps.
    Plastic and reconstructive surgery, 2000
    Co-Authors: Ichiro Ono, Tohru Tateshita
    Abstract:

    Our new surgical procedure with two triangular flaps for Macrostomia repair allows us to achieve all three therapeutic goals, including formation of symmetric lips and commissures of the mouth, reconstruction of the orbicularis muscle of mouth to restore labial function, and reconstruction of the commissure of the mouth with a natural looking contour. Furthermore, the position of the commissure of the mouth can be adjusted intraoperatively according to the extent of Macrostomia. As reported here, our method provides very satisfactory clinical results and is relatively easy to perform. Thus, we believe that our method can serve as a standard for the surgical treatment of Macrostomia.

Makoto Hikosaka - One of the best experts on this subject based on the ideXlab platform.

  • refined simple line closure for Macrostomia repair designing a mucosal triangular flap on the commissure region
    Journal of Cranio-maxillofacial Surgery, 2009
    Co-Authors: Makoto Hikosaka, Tatsuo Nakajima, Hisao Ogata, Junpei Miyamoto
    Abstract:

    Congenital Macrostomia is a relatively rare deformity. A number of different methods for its correction have been reported in the past. Here, we report our refined method of correcting Macrostomia. Our method is characterized by creation of a small triangular mucosal flap on the cleft region of the lower red lip where the tissue appears identical to the normal commissure. Adequate advancement of this flap into the mouth along with proper reconstruction of muscle continuity and simple line closure of the skin enable correction of Macrostomia with a natural-looking commissure in a symmetric position with an acceptable scar.

Karolien Hollanders - One of the best experts on this subject based on the ideXlab platform.

  • Use of the Masquerade Flap in Ablepharon-Macrostomia Syndrome: A Case Report.
    Cornea, 2018
    Co-Authors: Karolien Hollanders, Ingele Casteels, Sylvie Vandelanotte, Rudolf Reyniers, Katarina Segers, Thomas Nevens, Ilse Mombaerts
    Abstract:

    PURPOSE To report a case of ablepharon-Macrostomia syndrome and surgical treatment options. METHODS Case report and literature review. RESULTS A prematurely born male baby presented with severe ablepharon, hypertelorism, Macrostomia, low-set dysplastic ears, broad nasal bridge, coarse and redundant body skin, absent scalp and body hair, lax abdominal wall, absent nipples, camptodactyly, and ambiguous genitalia. Despite intensive ocular lubrication, severe exposure keratopathy developed within the first days after birth. The eyes were closed using masquerade flaps for 6 weeks. In a secondary procedure at the adjusted age of 3 weeks, the flaps were partially divided, and visual input and development were successfully achieved, while maintaining corneal protection. CONCLUSIONS We present a rare case of a prematurely born infant with a severe phenotype of ablepharon-Macrostomia syndrome, surgically treated with masquerade flaps to preserve corneal health and allow bilateral visual input.