Acquired synechia of the tongue to the mouth floor

Sodnom-Ish, Buyanbileg; Nguyen, Truc Thi Hoang; Eo, Mi Young; Cho, Yun Ju; Kim, Soung Min; Lee, Jong Ho

doi:10.5125/jkaoms.2021.47.5.394

Cited by 2 publications

(2 citation statements)

References 8 publications

(11 reference statements)

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“…Microstomia is related to toxic epidermal necrosis and Steven-Johnson syndrome [ 39 , 40 ]. Other rare causes include congenital maxilla-facial syngnathia and synechiae involving the tongue and lip [ 31 , 40 ].…”

Section: Causes Of Microstomiamentioning

confidence: 99%

“…In the correction of microstomia, flap reconstruction, particularly using local flaps, is generally recommended. However, when mucosal involvement necessitates skin grafting, such as in cases of acquired synechiae of the tongue to the floor of the mouth, focusing on surface reconstruction instead of reconstructing the mouth corner can be more effective [ 31 , 87 , 88 ]. Another important aspect of microstomia reconstruction is preserving the sphincter function and the integrity of the orbicularis oris muscle after reconstruction.…”

Section: Treatment Of Microstomiamentioning

confidence: 99%

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Prevention and treatment of microstomia

Ki,

Park

2024

Arch Craniofac Surg

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The mouth, located in the lower third of the face, is a uniquely visible structure. It serves as a vital organ both aesthetically and functionally, playing a key role in speech, expression, and fundamental oral functions. Consequently, any alterations or defects in its shape, due to various causes, can lead to aesthetic and functional deficiencies. These issues may also result in challenges with social interactions and a decrease in confidence. In cases of microstomia, various surgical approaches are proposed based on the location, extent, shape, and cause of the defect, leading to numerous case reports. Plastic surgeons are proficient in oral reconstruction; however, cases of microstomia are relatively rare, which reduces their familiarity and interest in these cases. Additionally, preferences for oral size and shape vary according to factors such as geographical region and ethnicity, further complicating the functional definition of microstomia. Therefore, both subjective patient and physician judgments play crucial roles in the diagnosis and treatment of microstomia, as these may vary depending on individual and societal aspects. This review aims to classify the various causes and definitions of microstomia, as well as its non-surgical and surgical treatment options, with the goal of the treatment of this condition.

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