Archives of International Surgery

CASE REPORT
Year
: 2013  |  Volume : 3  |  Issue : 3  |  Page : 247--250

Bilateral oral commissurotomy and buccal mucosa advancement flaps in the reconstruction of post-burns microstomia


Abdulrasheed Ibrahim, Muhammad L Abubakar, Daniel J Maina, Wasiu O Adebayo, Malachy E Asuku 
 Department of Surgery, Division of Plastic Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria

Correspondence Address:
Abdulrasheed Ibrahim
Department of Surgery, Division of Plastic Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Nigeria

Microstomia following burns of the face remains a significant challenge. This article describes the experience in the reconstruction of post-burns microstomia with bilateral oral commissurotomy and buccal mucosa flaps. Four patients aged from 15 to 29 years had commisurotomy and buccal mucosa advancement flaps. All the patients were operated under local anesthesia with sedation. The procedure was bilateral in three patients. There were three females and one male. The most common cause of microstomia was flame burns in three patients while one patient sustained burns to the face following assault with acid. Pre-operative mean mouth opening was 20 mm and post-operative mean mouth opening was 35 mm in the four patients. Median follow-up was 57 days (range 12-472 days). Late follow-up visits revealed that the improvement in mouth opening remained satisfactory. The technique remains useful in restoration of the oral aperture. The operation is easily performed and it is recommended for immediate and delayed reconstruction of the commissure. The functional and aesthetic results are generally well-acceptable.


How to cite this article:
Ibrahim A, Abubakar ML, Maina DJ, Adebayo WO, Asuku ME. Bilateral oral commissurotomy and buccal mucosa advancement flaps in the reconstruction of post-burns microstomia.Arch Int Surg 2013;3:247-250


How to cite this URL:
Ibrahim A, Abubakar ML, Maina DJ, Adebayo WO, Asuku ME. Bilateral oral commissurotomy and buccal mucosa advancement flaps in the reconstruction of post-burns microstomia. Arch Int Surg [serial online] 2013 [cited 2024 Mar 29 ];3:247-250
Available from: https://www.archintsurg.org/article.asp?issn=2278-9596;year=2013;volume=3;issue=3;spage=247;epage=250;aulast=Ibrahim;type=0