Functional reconstruction for severe postburn microstomia.

La Trenta, G S; Grant, R T; Haworth, R D; Madden, M; Hoffman, L A · Ann Plast Surg · 1992

case_report · Level V

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Abstract

A man with severe burn microstomia refractory to traditional management (Z release, skin grafting, splinting, bilateral commissuroplasty, and extensive physical therapy) is presented. Successful functional microstomia reconstruction was achieved with a three-stage approach consisting of the following: (1) lip, commissure, and cheek reconstruction with bilateral temporalis muscle transfers; (2) free flap neck and lower lip contracture release; and (3) vestibuloplasty with a stented full-thickness skin graft.

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