Jaminet Patrick, Werdin Frank, Kraus Armin, Pfau Matthias, Schaller Hans-Eberhard, Becker Stephan, Sinis Nektarios
Department of Plastic, Hand and Reconstructive Surgery, Burn Center, BG-Trauma Center, Eberhard-Karl University of Tübingen, Schnarrenbergstr. 95, 72076 Tübingen, Germany.
Eplasty. 2009 Dec 26;10:e5.
A case of extreme microstomia in an 8-month-old infant is presented. As a result of caustic acid ingestion at the age of a few weeks, the male infant developed progressive stricture of the perioral region preventing him from normal food intake.
The patient was treated by bilateral commissurotomies and a total of 4 rhomboid flaps based in the buccal mucosa.
We were able to enlarge the mouth aperture and subsequently cover the created soft tissue defects, with good esthetic result. The patient learned to suck the feeding bottle and was able to demonstrate oral dynamics, including laughing and crying.
We present our surgical technique, the postoperative functional and esthetic outcome, and a brief literature review. Only few publications deal with the same matter and none with a similar life-threatening case.
介绍一例8个月大婴儿的极重度小口畸形病例。该男婴在几周大时因摄入腐蚀性酸，导致口周区域逐渐出现狭窄，无法正常进食。
对该患者进行了双侧口角切开术，并使用了4个以颊黏膜为蒂的菱形皮瓣。
我们成功扩大了口腔开口，并随后覆盖了所形成的软组织缺损，获得了良好的美学效果。患者学会了用奶瓶吸吮，并且能够表现出包括笑和哭在内的口腔动态。
我们介绍了我们的手术技术、术后功能和美学效果，并进行了简要的文献综述。仅有少数出版物涉及相同问题，且没有关于类似危及生命病例的报道。
