Upper XXXX in Mobius syndrome: a previously unreported feature and its correction.

@entity1 @entity4239 @entity3305 @entity3541 @entity8352
@entity3541 in @entity8352 remains one of the greatest challenges in reconstructive plastic surgery. Facial reanimation is an invaluable aid to such @entity1 because it allows for greater social interaction by means of the ability to smile. In performing facial reanimation surgery on @entity1 with @entity8352 , it is the observation of the senior author (Harrison) that @entity3305 is a consistent and previously unreported feature of the syndrome. It has been the practice of the senior author to perform upper labial augmentation on @entity8352 @entity1 by insertion of a lipodermal autograft, in addition to facial reanimation. Nine @entity1 with @entity8352 who presented to the Department of Plastic Surgery during an 8-year period were reviewed. All nine possessed bilateral @entity3541 and @entity3305 in addition to other abnormalities consistent with @entity8352 . Six @entity1 underwent bilateral facial reanimation and upper labial augmentation alone. One @entity1 refused facial reanimation surgery but consented to upper labial augmentation. One @entity1 , with concomitant @entity4239 , underwent bilateral facial reanimation, upper labial augmentation, and insertion of a Silastic chin implant. In one @entity1 , a @entity1 who also exhibited @entity4239 , bilateral facial reanimation alone was carried out, with further procedures for upper labial and chin cosmesis being postponed until adulthood. The indication for performing upper labial augmentation was cosmetic. The procedure improved upper labial appearance and restored balance to the mouth. @entity1 also expressed higher satisfaction with eating and drinking, which they related to the improved fullness of the upper lip. This was before the facial reanimation had become functional. Upper @entity3305 warrants addition to the list of facial features of @entity8352 and is something that must be assessed in the context of facial reanimation surgery.
