Asian Journal of Case Reports in Surgery

Surgical Treatment of Macrostomia in Tessier Slit No. 7: A Case Report

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.

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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

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