Management of Severe Burn Microstomia

ePlasty: Vol. 16

Management of Severe Burn Microstomia
Megan Zak, BS^a, Olivia Means, BS^a, Benton Cason, MD,^a and Ron Brooks, MD^b
^aUniversity of South Alabama College of Medicine, Mobile; and ^bDepartment of Surgery, Plastic and Reconstructive Surgery, Universtiy of South Alabama Medical Center, Mobile
Correspondence: brooksy1278@gmail.com
Keywords: microstomia, burn, commissuroplasty, contracture, reconstruction

Figure 1. Bilateral oral commissure contractures and resulting microstomia 7 months postburn. Interlabial distance 5 mm.

Figure 2. Y-V mucosal advancement flaps originally described by Dieffenbach, with later modifications by Converse.

Figure 3. Preoperative markings. Mid-pupillary axis used to determine new lateral oral commissure location.

Figure 4. Intraoperative view of buccal mucosa flaps. Bila .......