A novel nonoperative technique in the initial management and treatment of congenital microstomia.

Journal Article (Journal Article)

Congenital microstomia in the newborn can result in poor functional and aesthetic outcomes. In the past, treatment options have included surgical methods such as commissurotomies and z-plasties as well as nonsurgical treatments using oral splints. In severe microstomia, a surgical release may be required to permit splint placement. Because of the small diameter of the stoma, such surgical releases are not optimal and frequently must be repeated. We devised a nonoperative technique for the initial treatment of congenital microstomia that will slowly enlarge the stomal diameter without the need for surgical release. The patient is a newborn male born with multiple congenital anomalies including severe mandibular hypoplasia and retrusion, microstomia, and microglossia. The size of his oral cavity was less than 1 cm at birth with no clinical signs of a tongue. After initial dilation in the operating room with Hagar dilators, the oral stoma was serially dilated using Boston Scientific esophageal balloons. Once full dilation was achieved, we fabricated oral splints to continue the dilation process while maintaining oral competence with no surgical intervention.

Full Text

Duke Authors

Cited Authors

  • Rezak, KM; Bouvier, A; Olack, B; Larumbe, JC; Stelnicki, E

Published Date

  • May 2012

Published In

Volume / Issue

  • 49 / 3

Start / End Page

  • 352 - 356

PubMed ID

  • 21557670

Electronic International Standard Serial Number (EISSN)

  • 1545-1569

Digital Object Identifier (DOI)

  • 10.1597/10-114


  • eng

Conference Location

  • United States