Scar Management After Surgical Repair of Lateral Facial Clefts
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The prevention of scar contracture after surgery is an important aspect of lateral facial cleft repair. Maintaining adequate mouth opening is essential for speech, expression, chewing, oral hygiene and psychosocial well-being. Although there have been extensive reviews of non-surgical microstomia management in patients with oral electrical burns, there have been no reports on the use of oral commissure splints to manage the surgical scar in patients with lateral facial clefts. The case study presented here will demonstrate the clinical use of cheek retractors to provide physical resistance to scar contracture. We recommend early rehabilitation with cheek retractors to minimize scar contracture and the negative sequelae of scarred tissues on the dentition after lateral facial cleft repair.
KeywordsLateral facial cleft repair Scar contracture Oral commissure Cheek retractor
This project did not receive any grants or other forms of financial support. The authors have no financial, consultant, institutional and other relationships with the manufacturer, The Orthodontic Store, Inc. (Gaithersburg, MD) of the Ortho-Perfect Extra-Oral Retractor reported in this manuscript that might lead to bias or a conflict of interest.
Compliance with Ethical Standards
Conflict of interest
Vicky Kang, MD, declares that she has no conflict of interest. Alvaro A. Figueroa, DDS, MS, declares that he has no conflict of interest. Russell R. Reid, MD PhD, declares that he has no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
This article does not contain any studies with human participants by any of the authors.
- 1.Sowande OA, Anyanwu LC, Ademuyiwa AO et al (2011) Macrostomia: a report of three cases. Head Neck Surg 66:354–356Google Scholar
- 2.Yiltok SJ, Gontour SS, Nnadozie UU et al (2007) Isolated bilateral macrostomia: case series and review of literature. Afr J Paediatr Surg 4:41–45Google Scholar
- 10.Gulses A (2011) Microstomia: A rare but serious oral manifestation of inherited disorders. In: Ikehara K (ed) Advances in the study of genetic disorders. Intech, New York, pp 449–472Google Scholar