title: Functional reconstruction for severe postburn microstomia.
abstract: A man with severe burn microstomia refractory to traditional management (Z release, skin grafting, splinting, bilateral commissuroplasty, and extensive physical therapy) is presented. Successful functional microstomia reconstruction was achieved with a three-stage approach consisting of the following: (1) lip, commissure, and cheek reconstruction with bilateral temporalis muscle transfers; (2) free flap neck and lower lip contracture release; and (3) vestibuloplasty with a stented full-thickness skin graft.
authors.affiliation: Division of Plastic and Reconstructive Surgery, New York Hospital-Cornell Medical Center, NY 10021.
authors.forename: G S
authors.initials: GS
authors.lastname: La Trenta
authors.forename: R T
authors.initials: RT
authors.lastname: Grant
authors.forename: R D
authors.initials: RD
authors.lastname: Haworth
authors.forename: M
authors.initials: M
authors.lastname: Madden
authors.forename: L A
authors.initials: LA
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D002056:Burns / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000601:surgery; D008297:Male; D008865:Microstomia / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D012086:Reoperation; D012225:Rhinoplasty; D013524:Surgical Flaps / Q000379:methods