Functional reconstruction for severe postburn microstomia.
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.
La Trenta
G S
GS
Division of Plastic and Reconstructive Surgery, New York Hospital-Cornell Medical Center, NY 10021.
Grant
R T
RT
Haworth
R D
RD
Madden
M
M
Hoffman
L A
LA
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