Our Summary

This research paper discusses a rare birth defect known as congenital macrostomia, which causes an unusually large opening at the corner of the mouth. This condition can occur on one or both sides of the mouth and can vary in appearance. There are various surgical methods to fix this, but only a few demonstrate the potential results.

The surgery must take into account both the appearance and the functionality of the patient’s mouth. The researchers suggest a refined approach to a specific surgical technique known as “Double Reversing Z-Plasty” for treating macrostomia. They also present a series of cases where this technique has shown good long-term results in terms of function and appearance, particularly in cases with a small cleft.

FAQs

  1. What is congenital macrostomia and how is it typically corrected?
  2. What is the “Double Reversing Z-Plasty” technique used for in the context of congenital macrostomia?
  3. What kind of results can be expected from the “Double Reversing Z-Plasty” technique in terms of functionality and aesthetics?

Doctor’s Tip

One helpful tip a doctor might tell a patient about Z-plasty is to follow post-operative care instructions carefully to promote proper healing and minimize scarring. This may include keeping the surgical site clean and dry, avoiding excessive movement or stretching of the area, and attending follow-up appointments as scheduled. Additionally, patients should communicate any concerns or unusual symptoms to their healthcare provider promptly.

Suitable For

Patients with congenital macrostomia, also known as commissural cleft, are typically recommended for z-plasty surgical repair. This condition involves an enlargement of the commissure of the mouth, which can have both esthetic and functional impacts on the patient. Z-plasty is a surgical technique that can help to correct the deformity and improve the appearance and function of the mouth. The double reversing z-plasty technique, in particular, has been shown to provide good long-term functional and esthetic results for patients with congenital macrostomia, especially in cases of minor clefts. This surgical approach can help to improve the symmetry and function of the mouth, as well as enhance the overall appearance of the patient’s face.

Timeline

Before Z-plasty:

  1. Patient is diagnosed with congenital macrostomia, a rare congenital deformity involving enlargement of the mouth commissure.
  2. Patient undergoes consultation with a plastic surgeon to discuss surgical options for correction.
  3. Surgical plan is developed, considering both esthetic and functional impacts for the patient.
  4. Patient undergoes pre-operative evaluations and preparation for surgery.

After Z-plasty:

  1. Patient undergoes Z-plasty surgery to correct the macrostomia deformity.
  2. Post-operative care and monitoring is provided to ensure proper healing and recovery.
  3. Patient may experience temporary swelling, bruising, and discomfort in the surgical area.
  4. Follow-up appointments are scheduled to monitor progress and assess long-term results.
  5. Patient achieves improved esthetic and functional outcomes with successful correction of the macrostomia deformity.

What to Ask Your Doctor

  1. What is a z-plasty and how does it work to correct congenital macrostomia?
  2. What are the potential risks and complications associated with z-plasty surgery?
  3. How long is the recovery process after z-plasty surgery?
  4. What kind of scarring can I expect after the procedure and how can it be minimized?
  5. Are there any alternative surgical techniques for correcting congenital macrostomia?
  6. How many z-plasty procedures have you performed for congenital macrostomia and what is your success rate?
  7. What kind of post-operative care will be required after the z-plasty surgery?
  8. Will there be any restrictions on my activities or diet following the procedure?
  9. What kind of results can I expect in terms of both esthetic and functional improvement after z-plasty surgery?
  10. Are there any long-term effects or considerations I should be aware of after undergoing z-plasty for congenital macrostomia?

Reference

Authors: Oliver C, Prévost A, Cavalier Z, Corre P, Lauwers F, Bertin H. Journal: J Stomatol Oral Maxillofac Surg. 2022 Oct;123(5):527-531. doi: 10.1016/j.jormas.2022.03.016. Epub 2022 Mar 26. PMID: 35346869