Isolated bilateral macrostomia: literature review and case report

Authors

  • M Tarle Department of Oral and Maxillofacial Surgery, Dubrava University Hospital, Zagreb, Croatia. University of Zagreb, School of Dental Medicine, Zagreb
  • A Tarle University of Zagreb, School of Dental Medicine, Zagreb, Croatia. Apolonia Dental Clinic, Zagreb
  • D Macan Department of Oral and Maxillofacial Surgery, Dubrava University Hospital, Zagreb, Croatia. University of Zagreb, School of Dental Medicine, Zagreb
  • H Knežević Krajina University of Zagreb, School of Medicine, Zagreb
  • P Knežević Department of Oral and Maxillofacial Surgery, Dubrava University Hospital, Zagreb, Croatia. University of Zagreb, School of Dental Medicine, Zagreb

DOI:

https://doi.org/10.23804/ejpd.2023.24.01.10

Keywords:

Macrostomia, Tessier number 7, Isolated bilateral macrostomia

Abstract

AIM: Macrostomia, or lateral cleft lip, which is known as Tessier cleft type 7, is one of the rarest facial anomalies. The purpose of this review is to describe the main characteristics, epidemiology, aetiology and treatment of this anomaly. METHODS: We present an overview of surgical techniques as well as a review of all 36 cases of bilateral asyndromic macrostomia reported to this da in the literature. Furthermore, we report the case of a 4-month male infant with bilateral transverse cleft lip and analyse the treatment decision and the procedure itself. CONCLUSION: Early diagnosis and surgical intervention are crucial in treating children with these malformations. Adequate timely reconstruction plays a main role in both physical and psychological rehabilitation.