Surgical repair for macrostomia

Significance of Z-plasty limb directions

Chung Chih Yu, Raymond C.W. Goh, Lun Jou Lo, Philip K.T. Chen, Yu Ray Chen

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The objective of this study was to determine whether the direction of Z-plasty limbs incorporated into the surgical repair for macrostomia had a significant influence on the quality of the resultant scar. A total of 41 patients who underwent macrostomia repair by means of the same technique, and who had a follow up period of at least 2 years, were retrospectively reviewed through postoperative photographs and medical records. Quality of scar, lip symmetry, and commissure shape and thickness were recorded. Our results showed that a more favorable scar would be achieved in the medial limb of the Z-plasty if it was planned parallel to relaxed skin tension lines (P < 0.05). An unfavorable scar would be more likely if the medial limb of the Z-plasty was made in a horizontal direction or perpendicular to relaxed skin tension lines (P < 0.05). The quality of scar in both the central and lateral limbs of the Z-plasty was not significantly influenced by their direction.

Original languageEnglish
Pages (from-to)751-754
Number of pages4
JournalAnnals of Plastic Surgery
Volume64
Issue number6
DOIs
Publication statusPublished - Jun 1 2010
Externally publishedYes

Fingerprint

Macrostomia
Cicatrix
Extremities
Skin
Lip
Medical Records
Direction compound

Keywords

  • Commissuroplasty
  • Facial cleft
  • Macrostomia
  • Z-plasty

ASJC Scopus subject areas

  • Surgery

Cite this

Surgical repair for macrostomia : Significance of Z-plasty limb directions. / Yu, Chung Chih; Goh, Raymond C.W.; Lo, Lun Jou; Chen, Philip K.T.; Chen, Yu Ray.

In: Annals of Plastic Surgery, Vol. 64, No. 6, 01.06.2010, p. 751-754.

Research output: Contribution to journalArticle

Yu, Chung Chih ; Goh, Raymond C.W. ; Lo, Lun Jou ; Chen, Philip K.T. ; Chen, Yu Ray. / Surgical repair for macrostomia : Significance of Z-plasty limb directions. In: Annals of Plastic Surgery. 2010 ; Vol. 64, No. 6. pp. 751-754.
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