“Surgical Management of Paediatric Microstomia: A Report of three cases with Y-V Plasty Reconstruction”

Authors

  • Puneet Srivastava
  • Richa Jaiman
  • Renu Singh

Keywords:

N\A

Abstract

Background:Microstomia is a debilitating condition characterized by reduced oral aperture, leading to functional impairment in feeding, speech, oral hygiene, and airway access. In children, it may be congenital or acquired, commonly following burn injuries. Early surgical intervention is essential to restore function and prevent long-term morbidity. ¹

Objective:To evaluate the functional and cosmetic outcomes of Y–V plasty–based reconstruction in paediatric patients with microstomia of varying aetiologies.

Materials and Methods:We present a case series of three paediatric patients with microstomia—two congenital and one post-burn—managed surgically using Y–V plasty, with adjunctive procedures where required.

Results:All patients demonstrated significant improvement in mouth opening and feeding ability postoperatively. Wound healing was satisfactory, with good cosmetic outcomes and no early recurrence. In the post-burn case, additional contracture release and skin grafting resulted in stable oral aperture with good graft uptake.

Conclusion:Y–V plasty is a reliable and effective surgical technique for the management of paediatric microstomia. When performed early with meticulous technique and appropriate postoperative care, it provides excellent functional and aesthetic outcomes with a low risk of recurrence. ²

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References

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[4] Grabb WC, Smith JW. Grabb and Smith’s Plastic Surgery. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 682–686.

[5] Millard DR. Commissuroplasty by Y–V advancement. Plast Reconstr Surg. 1959;23(3):224–232.

[6] Mathes SJ, Hentz VR. Plastic Surgery. 2nd ed. Philadelphia: Saunders Elsevier; 2006. p. 455–460.

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Published

2025-03-10

How to Cite

1.
Srivastava P, Jaiman R, Singh R. “Surgical Management of Paediatric Microstomia: A Report of three cases with Y-V Plasty Reconstruction”. J Neonatal Surg [Internet]. 2025 Mar. 10 [cited 2026 Mar. 4];14(6S):940-3. Available from: https://jneonatalsurg.com/index.php/jns/article/view/9848

Issue

Vol. 14 No. 6S (2025): Journal of Neonatal Surgery

Section

Original Article

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