Surgical Treatment of Macrostomia in Tessier Slit No. 7: A Case Report
Published: 2024-04-05
Page: 181-186
Issue: 2024 - Volume 7 [Issue 1]
Hafssa Hadri *
Maxillofacial and Aesthetic Service, CHU Mohamed VI Marrakech, Faculty of Medicine and Pharmacy of Marrakech, Morocco.
MSK. Hattab
IBN Tofail Hospital- Mohammed VI University Hospital Center at Marrakesh, Morocco.
Z. Aziz
IBN Tofail Hospital- Mohammed VI University Hospital Center at Marrakesh, Morocco.
N. Mansouri Hattab
IBN Tofail Hospital- Mohammed VI University Hospital Center at Marrakesh, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Summary: Macrostomia also called maxillomandibular cleft or lateral cleft or commissural cleft or transverse cleft is one of the so-called rare facial clefts as opposed to the labioalveolopalatine clefts. They are unilateral in 80% of cases without significant predominance of the affected side and often in a polymalformative setting.
We report the case of a patient with otomandibular syndrome with macrostomy and therefore part of tessier no. 7 clefts.
There are several surgical techniques to treat macrostomia, but for this patient we opted for the Préau method to restore the normal anatomy of a labial corner while respecting the 3 planes: mucosal, muscular and cutaneous. The advantage of this technique is to minimize scarring.
Keywords: Craniofacial malformations, congenital macrostomia, tessier cleft 7, linear commissuroplasty