Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 2, pp 197–200 | Cite as

Scar Management After Surgical Repair of Lateral Facial Clefts

  • Vicky Kang
  • Alvaro A. Figueroa
  • Russell R. Reid
Case Report


The prevention of scar contracture after surgery is an important aspect of lateral facial cleft repair. Maintaining adequate mouth opening is essential for speech, expression, chewing, oral hygiene and psychosocial well-being. Although there have been extensive reviews of non-surgical microstomia management in patients with oral electrical burns, there have been no reports on the use of oral commissure splints to manage the surgical scar in patients with lateral facial clefts. The case study presented here will demonstrate the clinical use of cheek retractors to provide physical resistance to scar contracture. We recommend early rehabilitation with cheek retractors to minimize scar contracture and the negative sequelae of scarred tissues on the dentition after lateral facial cleft repair.


Lateral facial cleft repair Scar contracture Oral commissure Cheek retractor 



This project did not receive any grants or other forms of financial support. The authors have no financial, consultant, institutional and other relationships with the manufacturer, The Orthodontic Store, Inc. (Gaithersburg, MD) of the Ortho-Perfect Extra-Oral Retractor reported in this manuscript that might lead to bias or a conflict of interest.

Compliance with Ethical Standards

Conflict of interest

Vicky Kang, MD, declares that she has no conflict of interest. Alvaro A. Figueroa, DDS, MS, declares that he has no conflict of interest. Russell R. Reid, MD PhD, declares that he has no conflict of interest.

Ethical Standards

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

This article does not contain any studies with human participants by any of the authors.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  • Vicky Kang
    • 1
    • 2
  • Alvaro A. Figueroa
    • 2
  • Russell R. Reid
    • 3
  1. 1.Rush University College of MedicineChicagoUSA
  2. 2.Rush Craniofacial CenterRush University Medical CenterChicagoUSA
  3. 3.Section of Plastic and Reconstructive SurgeryUniversity of Chicago School of MedicineChicagoUSA

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