Maxillofacial Plastic and Reconstructive Surgery

  • Volume 41
  • /
  • Pages.55.1-55.7
  • /
  • 2019
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty in a patient with a transverse facial cleft

  • Koh, Sung-Hyuk (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Jeong, Yeon-Woo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Han, Jeong Joon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Jung, Seunggon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Kook, Min-Suk (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University)
  • Received : 2019.09.24
  • Accepted : 2019.11.06
  • Published : 2019.12.31
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Abstract

Background: Transverse facial clefts are Tessier's number 7 facial cleft among numbers 1-15 in Tessier's classification of craniofacial malformations, which varies from a simple widening oral commissure to a complete fissure extending towards the external ear. Case presentation: In a patient with a transverse facial cleft, to functionally arrange the orbicularis oris muscle and form the oral commissure naturally, we performed a surgical procedure including orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty. Conclusion: We achieved good results functionally and esthetically by orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty. The surgical modality of our anatomical repair and 3 months follow-up results are presented.

Keywords

References

  1. Jawarski S (1976) Macrostomia: a modified technique of surgical repair. Acta Chir Plast 18:117-121
  2. Gorlin RJ, Jue KL, Jacobsen U, Goldschmidt E (1963) Oculoauriculovertebral dysplasia. J Pediatr Surg 63:991-999
  3. Kim SM, ChoYJ, Kwon IJ, Seo MH, Reddy GS, Amponsah EK et al (2015) Surgical approaches of lateral facial cleft. Korean J Cleft lip and palate 18:45-55.
  4. Rogers GF, Mulliken JB (2007) Repair of transverse facial cleft in hemifacialmicrosomia: long-term anthropometric evaluation of commissural symmetry. Plast Reconstr Surg 120:728-737 https://doi.org/10.1097/01.prs.0000270308.51699.40
  5. Aketa J, Nodai T, Kuga Y, Yamada N, Hirakawa M (1980) Method for the repair of transverse facial clefts. Cleft Palate J 17:245-248
  6. Converse JM, Wood-Smith D, McCarthy JG, Coccaro PJ, Becker MH (1974) Bilateral facial microsomia: diagnosis, classification, treatment. Plast Reconstr Surg 54:413-423 https://doi.org/10.1097/00006534-197410000-00005
  7. Stark RB, Saunders DE (1962) The first branchial syndrome: the oralmandibular-auricular syndrome. Plast Reconstr Surg 29:229-239 https://doi.org/10.1097/00006534-196203000-00001
  8. Butow KW, Botha A (2010) A classification and construction of congenital lateral facial cleft. J Craniomaxillofac Surg 38:477-484 https://doi.org/10.1016/j.jcms.2010.02.007
  9. Shin KS, Lee YH, Lew JD (1985) Cleft lip and cleft palate in Korea: 24 cases in 20 years. Yonsei Med J 26:184-190 https://doi.org/10.3349/ymj.1985.26.2.184
  10. Seo MH, Cho YJ, Kim SM, Myoung H, Lee JH, Lee SK (2015) Revisiting of the classification of facial cleft. Korean J Cleft Lip Palate 18:1-18
  11. Kuriyama M, Udagawa A, Yoshimoto S, Ichinose M, Suzuki H (2008) Tessier number 7 cleft with oblique clefts lateral soft palates and rare symmetric structure of zygomatic arch. J Plast Reconstr Aesthet Surg 61:447-450 https://doi.org/10.1016/j.bjps.2006.05.019
  12. Hou R, Feng X, Zhang J, Lu B, Liu G, Wang L et al (2011) A rare bilateral Tessier no. 6 and 7 clefts. J Craniomaxillofac Surg 39:93-95 https://doi.org/10.1016/j.jcms.2010.10.011
  13. Borzabadi-Farahani A, Yen SL, Francis C, Lara-Sanchez PA, Hammoudeh J (2013) A rare case of accessory maxilla and bilateral Tessier no. 7 clefts, a 10-year follow-up. J Craniomaxillofac Surg 41:527-531 https://doi.org/10.1016/j.jcms.2012.11.019
  14. Bordoloi U, Saikia R (2014) Tessier cleft no. 7: report of 12 cases. J Evol Med Dent Sci 3:6736-6739 https://doi.org/10.14260/jemds/2014/2812
  15. Ozcelik D, Toplu G, Turkseven A, Senses DA, Yigit B (2014) Lateral facial cleft associated with accessory mandible having teeth, absent parotid gland and peripheral facial weakness. J Craniomaxillofac Surg 42:239-244 https://doi.org/10.1016/j.jcms.2013.05.007
  16. Yoshimura Y, Nakajima T, Nakanishi Y (1992) Simple line closure for macrostomia repair. Br J Plast Surg 45:604-605 https://doi.org/10.1016/0007-1226(92)90028-V
  17. Hikosaka M, Nakajima T, Ogata H, Miyamoto J (2009) Refined simple line closure for macrostomia repair: designing a mucosal triangular flap on the commissure region. J Craniomaxillofac Surg 37:341-343 https://doi.org/10.1016/j.jcms.2009.03.001
  18. Kawai T, Kurita K, Echiverre NV, Natsume N (1998) Modified technique in surgical correction of macrostomia. Int J Oral Maxillofac Surg 27:178-180 https://doi.org/10.1016/S0901-5027(98)80005-2
  19. Talukder BC (1980) Bilateral complete transverse facial cleft. J Pediatr Surg 15:690-692 https://doi.org/10.1016/S0022-3468(80)80530-6
  20. Habal MB, Scheuerle J (1983) Lateral facial clefts: closure with W-plasty and implications of speech and language development. Ann PlastSurg 11:182-187
  21. Yotsuyanagi T, Yokoi K, Urushidate S, Sawada Y (1998) Functional and aesthetic reconstruction using a nasolabial orbicularis orismyocutaneous flap for large defects of the upper lip. Plast Reconstr Surg 101:1624-1629 https://doi.org/10.1097/00006534-199805000-00031
  22. Fukuda O, Takeda H (1985) Advancement of oral commissure in correcting mild macrostomia. Ann Plast Surg 14:205-212 https://doi.org/10.1097/00000637-198503000-00004
  23. Powell WJ, Jenkins HP (1968) Transverse facial clefts: report of three cases. Plast Reconstr Surg 42:454-459 https://doi.org/10.1097/00006534-196811000-00009
  24. Eguchi T, Asato PH, Takushima A, Takato T, Harii PK (2001) Surgical repair for congenital macrostomia: vermilion square flap method. Ann PlastSurg 47:629-635
  25. Nagai I, Weinstein I (1963) Surgical repair of horizontal facial cleft: report of case. J Oral Surg Anesth Hosp Dent Serv 21:251-254
  26. Weinstein IR (1970) Surgical repair of transverse facial cleft. Oral Surg Oral Med Oral Pathol 30:309-315 https://doi.org/10.1016/0030-4220(70)90306-3
  27. Boo-choi K (1990) The oblique facial cleft: a 20-year follow-up. Br J Plast Surg 43:355-358 https://doi.org/10.1016/0007-1226(90)90088-H
  28. Chen KT, Noordhoff SM (1994) Congenital macrostomia: transverse facial cleft. Changgeng Med J 17:239-247
  29. Kaplan EN (1981) Commissuroplasty and myoplasty for macrostomia. Ann Plast Surg 7:136-144 https://doi.org/10.1097/00000637-198108000-00010
  30. Onizuka T (1965) Treatment of the deformities of the mouth corner. Japanese J Plast Reconstr Surg 8:132-137
  31. Ono I, Tateshita T (2000) New surgical technique for macrostomia repair with two triangular flaps. Plast Reconstr Surg 105:688-694 https://doi.org/10.1097/00006534-200002000-00032
  32. Blackfield HM, Wilde NJ (1950) Lateral facial clefts. Plast Reconstr Surg 6:68-78 https://doi.org/10.1097/00006534-195007000-00007
  33. Itho E, Murakami T, Osada H (1971) An operative technique for macrostomia. Japanese J Plast Reconstr Surg 14:76-80
  34. Bauer BS, Wilkes GH, Kernahan DA (1932) Incorporation of the W-plasty in repair of macrostomia. Plast Reconstr Surg 70:752-757 https://doi.org/10.1097/00006534-198212000-00019
  35. May H (1962) Transverse facial clefts and their repair. Plast Reconstr Surg 29:240-249 https://doi.org/10.1097/00006534-196203000-00002
  36. Kazanjian VH, Roopenian A (1954) The treatment of lip deformities resulting from electric burns. Am J Surg 88:884-890 https://doi.org/10.1016/0002-9610(54)90444-4

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