CC BY-NC-ND 4.0 · Indian J Plast Surg 2004; 37(02): 121-123
DOI: 10.1055/s-0039-1697223
Original Article
Association of Plastic Surgeons of India

Straight line closure of congenital macrostomia

Richard Schwarz
Green Pastures Hospital, Box 5, Pokhara, 061-20342, Nepal
Digvijay Sharma
Green Pastures Hospital, Box 5, Pokhara, 061-20342, Nepal
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)


The results of patients operated on by Nepal Cleft Lip and Palate Association (NECLAPA) surgeons for congenital macrostomia were prospectively studied between January 2000 and December 2002. There were four males and three females with a median age of 10 years. Three had an associated branchial arch syndrome. In all patients an overlapping repair of orbicularis oris was done. Six patients had a straight line closure with excellent cosmetic results and one a Z-plasty with a more obvious scar. All had a normal appearing commissure. Overlapping orbicularis repair with straight line skin closure for this rare congenital anomaly is recommended.


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