Annals of Plastic Surgery

Skip Navigation LinksHome > May 2014 - Volume 72 - Issue 5 > Surgical Correction of Microstomia in a Patient With Antilam...
Annals of Plastic Surgery:
doi: 10.1097/SAP.0b013e318268a8b1
Head and Neck Surgery

Surgical Correction of Microstomia in a Patient With Antilaminin 332 Mucous Membrane Pemphigoid

Sato, Hideyoshi MD*; Toriyama, Kazuhiro MD, PhD*; Yagi, Shunjiro MD, PhD*; Takanari, Keisuke MD, PhD*; Takama, Hiroyuki MD; Sawada, Masaki MD, PhD; Hashimoto, Takashi MD, PhD; Kamei, Yuzuru MD, PhD*

Collapse Box


Abstract: Microstomia is a term used to describe a small oral aperture. Most of the reported cases are caused by scar contracture after facial trauma, burn injury, and tumor excision. We experienced a rare case of microstomia in a patient with antilaminin 332 mucous membrane pemphigoid, which was an acquired autoimmune disease and showed blisters and erosive lesions mainly on the mucous membranes. The patient had recurrent aphthous stomatitis and presented microstomia caused by scar contracture of oral mucosa. We surgically corrected microstomia by 5-flap Z-plasty for commissuroplasty and 2 Z-plasty of both upper and lower lips for an enlargement of oral aperture. The patient could achieve an enough oral aperture and was satisfied with the result. There was no recurrence of microstomia for 2 years.

© 2014 by Lippincott Williams & Wilkins


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.