Oral commissuroplasty through a “Z” plasty

Oral commissuroplasty through a “Z” plasty Eur J Plast Surg (2004) 27:44–45 DOI 10.1007/s00238-004-0599-9 LE TT ER TO T H E E DITOR F. M. Abenavoli · R. Corelli Received: 13 August 2003 / Accepted: 22 December 2003 / Published online: 11 March 2004 Springer-Verlag 2004 Dear Sir, At times the cicatricial retractions that take place around the oral commissure, due to a sequela of burns, wounds or as a result of electrical burns of the mouth, require more than one operation to be corrected. In addition to the fact that the operation is performed on tissue with a reduced vascularization and elasticity due to the presence of cicatricial tissue, the presence of saliva makes the healing process in this area more problematic. Therefore, in this context it would be better to carry out a commissuroplasty without cutting the mucous membrane of the vermilion. With this objective in mind we thus started to utilize a technique which permitted us to obtain a satisfactory widening of the oral commissure without cutting the remaining mucous membrane. This was achieved by making a Z plasty. One of the two triangularly-shaped flaps was taken from one side of the cutaneous tissue cut in-depth and the other was taken from http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Oral commissuroplasty through a “Z” plasty

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