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Case Reports in Dentistry
Volume 2014, Article ID 471353, 4 pages
Case Report

Macrostomia: A Review of Evolution of Surgical Techniques

Department of Oral and Maxillofacial Surgery, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Gannavaram, Andhra Pradesh 521286, India

Received 17 June 2014; Revised 3 September 2014; Accepted 13 September 2014; Published 29 September 2014

Academic Editor: Nils H. Rohleder

Copyright © 2014 Srikanth Gunturu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Macrostomia is a congenital deformity resulting from failure of fusion of maxillary and mandibular process. It is a rare congenital deformity with an incidence of 1 in 60,000 to 1 in 300,000 live births. Transverse facial clefts are more common on right side of face in unilateral cases. Males are more affected than females. Various surgical techniques have been described in the literature for the correction of these defects. We report a case of macrostomia corrected with Z-plasty closure for skin, overlapping muscle closure, and triangular mucosal flap for commissure, with a review on existing techniques.