IATROGENIC MICROSTOMIA – CORRECTION BY COMMISSUROTOMY AND BUCCAL MUCOSA FLAPS

  • Leonor Ramos Interna do Internato Complementar de Dermatologia e Venereologia/Resident, Dermatology and Venereology, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Vera Teixeira Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Diogo Serra Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Ricardo Vieira Assistente Hospitalar Convidado de Dermatologia e Venereologia/ Invinted Consultant, Dermatology and Venereology, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Américo Figueiredo Director do Serviço de Dermatologia e Venereologia do Centro Hospitalar Universitário de Coimbra/Professor of Dermatology and Venereology and Head of the Dermatology Department Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
Keywords: Microstomia, Surgical flaps

Abstract

Microstomia is the medical term to define the reduction of the oral aperture. It is a common complication after lip tumors excision. It can be severe enough to compromise cosmesis, nutrition, and quality of life. Microstomia correction is a challenge, with many reconstructive techniques described in the literature. A 83-year-old male patient is observed with a verrucous lesion that occupied the left inferior half of the lower lip. Biopsy revealed a squamous cell carcinoma. He was submitted to a radical excision but developed an iatrogenic microstomia, with an important compromise of the nutrition. Microstomia was corrected using comissurotomy and orbicularis oris muscle repositioning. Vermillion was reconstructed with 2 romboidal mucosal flaps.

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References

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Published
2015-04-13
How to Cite
Ramos, L., Teixeira, V., Serra, D., Vieira, R., & Figueiredo, A. (2015). IATROGENIC MICROSTOMIA – CORRECTION BY COMMISSUROTOMY AND BUCCAL MUCOSA FLAPS. Journal of the Portuguese Society of Dermatology and Venereology, 72(4), 531-534. https://doi.org/10.29021/spdv.72.4.322
Section
Surgical Dermatology