Post-burn microstomia: Anatomy and elimination with trapeze-flap plasty

Grishkevich, Viktor M.

doi:10.1016/j.burns.2010.09.003

Cited by 24 publications

(10 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since then, several modifications of this original method have been described by Converse, Friedlander, and Kazanjian [ 1 , 2 , 4 , 5 , 9 ]. Many authors have introduced other surgical methods, such as vermilion advancement and Z-plasty, Y-shaped incision and mucosal trapezoid flap, fishtail flap, bipediculovermilion transposition flap, composite auriculo lobule graft, and tongue flap [ 8 , 10 - 13 ]. In serious cases even correction with a free flap may be necessary.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of microstomia considering their functional status

Yoon

et al. 2020

Arch Craniofac Surg

View full text Add to dashboard Cite

Background: Microstomia is defined as a condition with a small sized-mouth that results in functional impairment such as difficulty with food intake, pronunciation, and poor oral hygiene and cosmetic problems. Several treatment methods for microstomia have been proposed. None of them are universally applicable. This study aims at analyzing the cases treated at our institution critically reviewing the pertinent literature. Methods: The medical records of all microstomia patients treated in our hospital from November 2015 to April 2018 were reviewed retrospectively. Of these, all patients who received surgical treatment for microstomia were included in the study and analyzed for etiology, chief complaint, surgical method, and outcomes. The functional outcomes of mouth opening and intercommissure distance before and after the surgery were evaluated. The cosmetic results were assessed according to the patients' satisfaction. Results: Five patients with microstomia were corrected. Two cases were due to scar contracture after chemical burn, two cases derived from repeated excision of skin cancer, and one patient suffered sequela of Stevens-Johnson syndrome. The following surgical methods were applied: one full-thickness skin graft on the buccal mucosa, three buccal mucosal advancement flaps after triangular excision of the mouth corner, and one local buccal mucosal flap. Mouth opening was increased by 6.0 mm, and the intercommissure distance improved by 7.2 mm on average. Follow-up was 9.6 months (range, 5-14 months). Cosmetic assessment was as follows: two patients found the results excellent, three judged it as good. Conclusion: Microstomia has several causes. In order to achieve optimal functional recovery and aesthetic improvement it is important to precisely evaluate the etiologic factors and the severity of the impairment and to carefully choose the appropriate surgical method.

show abstract

Section: Discussionmentioning

confidence: 99%

Reconstruction of microstomia considering their functional status

Yoon

et al. 2020

Arch Craniofac Surg

View full text Add to dashboard Cite

show abstract

“…Triangular scar excision and mucosal Y-V advancement, attributed to Dieffenbach in 1831, reintroduced by Kazanjian and Roopenian [6], and modified by Converse [7], is a one of the most frequently used methods for commissuroplasty [1]. The tissue defects encountered in SJS can be reconstructed using several surgical methods, such as skin and buccal mucosal Y-V advancement, triangular oral mucosal, single rhomboid, trapeze, or fishtail flaps, or skin graft [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Early surgical correction of microstomia following Stevens-Johnson syndrome

Hwan

et al. 2020

Arch Craniofac Surg

View full text Add to dashboard Cite

Stevens-Johnson syndrome (SJS) is a rare disease in which extensive toxic epidermolysis occurs after medication. Skin and mucous membranes are involved in about 90% of SJS cases, and webbing of mouth corners (microstomia) may occur when they are affected. Few reports have been issued on microstomia in SJS, and no consensus has been reached regarding treatment methods, timings, or results. We encountered a case of microstomia following SJS after ofloxacin medication in a 22-year-old woman treated by commissuroplasty using a lozenge-shaped excision. We present an appropriate correction method and surgical timing for microstomia following SJS.

show abstract

“…Usually, the oral commissure is at the level of a line dropped from the midpupillary line. 61,62 The tight commissure is released laterally, and a V-Y advancement mucosal flap is performed. Commissures must be placed equidistant from the midline to achieve aesthetic outcomes on mouth opening.…”

Section: Reconstruction Of Specific Areasmentioning

confidence: 99%

Postburn Reconstruction of the Face and Neck

Sabapathy¹,

Shanmugakrishnan²,

Ramkumar³

et al. 2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the cardinal principles in the management of postburn deformities in the face and neck. 2. Understand reconstruction of specific subsites in the face and neck affected by burn contracture. 3. Acquire knowledge about the various techniques of burn reconstruction of the face and neck. 4. Grasp technical nuances and select appropriate surgical options for individual cases. Summary: Postburn contractures in the face and neck region are multifactorial in origin and difficult to prevent in extensive burns. Facial burns lead to distortion of anatomical landmarks, causing aesthetic, functional, and psychological problems. Each subunit of the face is unique in structure; thus, the surgeon needs to adjust the timing of surgery and the technique according to region and the severity of contracture. Contracture of one unit, especially that of the neck and forehead, can exaggerate the contracture in neighboring subunits. The role of these extrinsic influences must be considered while sequencing surgical procedures. The burn surgeon must be adept in all reconstructive surgery techniques from skin grafting to tissue expanders to microsurgery to obtain the best outcomes. Surgery must be followed up with long-term physical therapy and psychological rehabilitation to help burn survivors with head and neck contractures to integrate back into society.

show abstract

Post-burn microstomia: Anatomy and elimination with trapeze-flap plasty

Cited by 24 publications

References 13 publications

Reconstruction of microstomia considering their functional status

Reconstruction of microstomia considering their functional status

Early surgical correction of microstomia following Stevens-Johnson syndrome

Postburn Reconstruction of the Face and Neck

Contact Info

Product

Resources

About