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Macrostomia: A Practical Guide for Plastic and Reconstructive Surgeons.

Abstract
Macrostomia is a rare and debilitating congenital anomaly with incompletely understood etiopathogenesis. Despite the phenotypic variability in macrostomia, plastic surgeons should demonstrate competence in the diagnosis and management of this condition. The anatomy, embryology, classification, and clinical presentation of macrostomia are reviewed in this manuscript. A historical overview of surgical repair is presented that forms the basis for understanding modern techniques of repair. Finally, an effective method of macrostomia repair is presented along with review of 5-year results. It is our intent that this guide serve as a reference for plastic and reconstructive surgeons to accomplish safe, functional, and aesthetic macrostomia reconstruction.
AuthorsEdward M Kobraei, Ashley K Lentz, Kyle R Eberlin, Nadine Hachach-Haram, Usama S Hamdan
JournalThe Journal of craniofacial surgery (J Craniofac Surg) Vol. 27 Issue 1 Pg. 118-23 (Jan 2016) ISSN: 1536-3732 [Electronic] United States
PMID26703052 (Publication Type: Case Reports, Journal Article)
Topics
  • Anatomic Landmarks (pathology)
  • Cicatrix (etiology)
  • Dentofacial Deformities (diagnosis, surgery)
  • Dermatologic Surgical Procedures (methods)
  • Facial Muscles (surgery)
  • Female
  • Humans
  • Infant
  • Lip (surgery)
  • Macrostomia (diagnosis, surgery)
  • Mouth Mucosa (surgery)
  • Postoperative Complications
  • Preoperative Care
  • Plastic Surgery Procedures (methods)
  • Surgical Flaps (surgery)

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