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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 22, No. 3, 2012, pp. 425-427
Bioline Code: pe12077
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Pediatrics, Vol. 22, No. 3, 2012, pp. 425-427

 en Treatment of Bilateral Macrostomia (Lateral Lip Cleft): Case Report
Khaleghnejad-Tabari, Ahmad; Salem, Katayoun & Ghajar, Masoud Fallahinejad


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.

Cleft Lip; Macrostomia; Maxillofacial Abnormalities; Congenital Structural Deformity

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