title: Refined simple line closure for macrostomia repair: designing a mucosal triangular flap on the commissure region.
abstract: Congenital macrostomia is a relatively rare deformity. A number of different methods for its correction have been reported in the past. Here, we report our refined method of correcting macrostomia. Our method is characterized by creation of a small triangular mucosal flap on the cleft region of the lower red lip where the tissue appears identical to the normal commissure. Adequate advancement of this flap into the mouth along with proper reconstruction of muscle continuity and simple line closure of the skin enable correction of macrostomia with a natural-looking commissure in a symmetric position with an acceptable scar.
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. merrilsmith@hotmail.com
authors.forename: Makoto
authors.initials: M
authors.lastname: Hikosaka
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Nakajima
authors.forename: Hisao
authors.initials: H
authors.lastname: Ogata
authors.forename: Junpei
authors.initials: J
authors.lastname: Miyamoto
mesh_terms: D005152:Facial Muscles / Q000601:surgery; D006801:Humans; D007223:Infant; D008046:Lip / Q000601:surgery*; D008265:Macrostomia / Q000601:surgery*; D009061:Mouth Mucosa / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps