Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

RECONSTRUCTION OF THE CORNERS OF THE MOUTH IN BURN-INDUCED MICROSTOMIA - A CASE REPORT -

화상에 의한 소구증 환자의 구각부 재건 - 증례보고 -

  • Choi, Young-Dal (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Byun, Sung-Soo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Jung, Hwui-Dong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 최영달 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 변성수 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 정휘동 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 남웅 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실)
  • Published : 2007.11.30
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Abstract

The lips and corners of the mouth are not only important for appearance but are also essential for facial expression, speech, and nutrition. Defects in these areas can be caused by congenital clefts of the lip and face, trauma, infection, cysts, and excision of benign or malignant tumors. Numerous techniques have been introduced for reconstruction of the lips and corners of the mouth, and in particular, techniques such as the Kazanjian Roopenian I and II, Converse method, Zisser method, Platz and Wepner method. Gillies and Millard method are commonly utilized for elongation and reconstruction of the mouth corner. Few reports exist in the oral and maxillofacial surgery literature regarding correction of microsomia and reconstruction of the corners of the mouth. As such, the authors report a case of the corners of the mouth elongation in a patient with burn-induced microstomia using the Converse flap which yielded a satisfactory outcome.

Keywords

References

  1. Converse JM : Reconstructive Plastic Surgery, WB Saunders company, 1977, p,1594
  2. Converse JM : Technique of elongation of the oral fissure and restoration of the angle of the mouth, in Kazanjian VH, Converse JM : The Surgical Treatment of Facial injuries. Baltimore, MD, Williams&Wilkins, 1959
  3. Berlet AC, Ablaza VJ, Servidio P : A refined technique for oral commissurotomy. J Oral Maxillofac Surg 51 : 1400, 1993 https://doi.org/10.1016/S0278-2391(10)80151-X
  4. Friecllander All. Zeff S, Sabin H : Cbieloplasty for the correction of microstomia secondary to an untreated burn. J Oral Surg 32 : 525, 1974
  5. Roopenian A. Kazanjian VII : The treatment of lip deformities resulting from lip burns. Am J Surg 88 : 884, 1954 https://doi.org/10.1016/0002-9610(54)90444-4
  6. Gillies HD, Millard DR : Principles and Art of Plastic Surgery. Boston, MA, Little Brown, 1957
  7. Karen HC, Charles MS : Surgery of the lip, Thieme, 1992, p.24
  8. Heinle JA, Kealey GP, Cram AE et al : The microstomia prevention appliance : 14 years of Clinical Experience, J Burn Care Rehabil 9 : 99, 1988
  9. Hartford CE, Kealey GP, Lavelle WE et al : An Appliance to Prevent and Treatment Microstomia from Bums. J Trauma 15 : 360, 1975
  10. McGowan RH : Prevention of microstomia following facial burns. Br Dent J 149 : 84. 1980
  11. Achauer BM : Reconstructing the Burned Face (Review), Clin Plast Surg 19 : 636, 1992
  12. Evans EB, Larson DL, Abston S et al : Prevention and Correction of Deformity after Severe Bums. Surg Clin North Am 50 : 1374, 1970
  13. Holt GR, Parel S, Richardson DS et al : The prosthetic management of oral commissure burns. Laryngoscope 92 : April. 411, 1982
  14. Minis Cohen : Mastery of plastic and reconstructive surgery, Vol. 1. Little. Brown and Company, 1994, p.448
  15. Naylor WP, Douglass CW, Mix E : The nonsurgical treatment of microstomia in scleroderma : a pilot study. Oral Surg Oral Med Oral Pathol. 57(5) : 511, 1984
  16. David Madjar, Arie Shifman, Wilfred Kusner : Dynamic labial commissure widening device for the facial burn patient. Quintessence International. Vol. 18 : 363, 1987
  17. Dougherty ME. Warden GD : A thirty-year review of oral appliances used to manage microstomia. J Burn Care Rehabil 24(6) : 431. 2003