Maxillofac Plast Reconstr Surg.  2019 ;41(1):55. 10.1186/s40902-019-0240-2.

Orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty in a patient with a transverse facial cleft

• Koh SH
• Jeong YW
• Han JJ
• Jung S
• Kook MS
• Oh HK
• Park HJ

• KMID: 2469002
• DOI: http://doi.org/10.1186/s40902-019-0240-2

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.

Keyword

Transverse facial cleft; Hemifacial microstomia; Orbicularis oris muscle; Cheiloplasty

MeSH Terms

Classification
Ear, External
Follow-Up Studies
Humans