Bilateral Isolated Transverse Facial Cleft Repaired by Straight Line Closure: About Two Cases
Article Main Content
Transverse facial cleft or congenital macrosomia is a rare facial malformation. It is more common in men than in women. Unilateral form is the most frequent and appears to be associated in most cases with additional facial deformities. Bilateral form is rare and is more often isolated. The cosmetic damage it causes can be source of psychological stress. Sever form can cause oral functional disorders. These consequences justify early repair. We report two cases of isolated bilateral transverse facial cleft in a 6 month old girl and a 5 month old boy. The straight-line technique was used. Mucosal flaps from the lower lip were used to reduce the suture of the labial mucosa to 5 mm from the commissures on the upper lip. The aesthetic and functional outcomes were satisfactory.
References
-
Fogh-Andersen P. Rare clefts of the face. Acta Chir Scand. 1965; 129: 275-281.
Google Scholar
1
-
Verheyden CN. Anatomical considerations in the repair of macrostomia. Ann Plastic Surg. 1988; 20: 374-380.
Google Scholar
2
-
Li J, Liu K, Sbi J, Wang Y, Zbeng Q, Sbi B, et al. Commissural symmetry in unilateral transverse facial cleft patients: an anthropometric study. J Oral Maxillofac Surg. 2012; 70: 2184-90.
Google Scholar
3
-
Fadeyibi IO, Ugburo AO, Ogunbanjo CV, Ilombu CA, Ademiluyi SA. The surgical repair of macrostomia. Cleft Palate Craniofac J 2009; 46: 642-7.
Google Scholar
4
-
Akinmoladun VI, Owotade FJ, Afolabi AO. Bilateral transverse facial cleft as an isolated deformity: case report. Ann Afr Med. 2007; 6(1): 39-40.
Google Scholar
5
-
Ahmed SS, Bey A, Hashmi SH, Parveen S, Ghassemi A. Bilateral transverse facial cleft as an isolated and asyndromic deformity. Int J Clin Ped Dent. 2010; 3(2): 101-4.
Google Scholar
6
-
Koh SH, Jeong YW, Han JJ, Jung S, Kook MS, Oh HK, et al. Orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty in a patient with a transverse facial cleft. Maxillofac Plast Reconstr Surg. 2019; 41(1): 55.
Google Scholar
7
-
Kawai T, Kurita K, Echiverre NV, Natsume N. Modified technique in surgical correction of macrostomia. Int J Oral Maxillofac Surg. 1998; 27: 178-80.
Google Scholar
8
-
Buonocore S, Broer PN, Walker ME, da Silva Freitas R, Franco D, Alonso N, et al. Macrostomia : A spectrum of deformity. Ann Plast Surg. 2014; 72: 363-8.
Google Scholar
9
-
Bauer BS, Margulis A. Invited discussion of surgical repair for congenital macrostomia: Vermillion square flap method. Ann Plast Surg 2002; 48(3): 328-9.
Google Scholar
10
-
Oghale OP, Chris-Ozoko LE. Asyndromic bilateral transverse facial cleft. Ann Med Health Sci Res. 2013; 3: 122-4.
Google Scholar
11
-
Gleizal A, Wan DC, Kwan MD, Beziat JL. Myoplasty for congenital macrostomia. Cleft Palate Craniofac J. 2008; 45: 179-86.
Google Scholar
12
-
Makhija LK, Jha MK, Bhattacharya S, Rai A, Dey AB, Saha A. Transverse facial cleft: a series of 17 cases. Indian J Plast Surg. 2011; 44(3): 439-43.
Google Scholar
13
-
Bütow KW, Botha A. A classification and construction of congenital lateral facial clefts. J Craniomaxillofac Surg. 2010; 38: 477-84.
Google Scholar
14
-
Ibrahim A, Abubakar LM, Maina DJ, Adebayo WO, Kabir AM, Asuku ME. Kaplan’s commissuroplasty and myoplasty technique in the reconstruction of isolated bilateral transverse facial clefts. J Clin Sci. 2018; 15(1): 60-4.
Google Scholar
15
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