Question of the Week

Question :
Posted On : 17 May 2026
What advice should we give to parents of a patient with a congenital absence of depressor Anguli Oris? What are the treatment modalities?
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Expert Answer :
Most parents do not notice any defect except when the child is crying; therefore, surgical intervention in the isolated deformity is rarely indicated. Surgical procedures to weaken the nonaffected side with selective marginal mandibular neurectomy or Botulinum Toxin injections provide symmetry at rest. Other plastic-reconstructive options include wedge resection and fascia lata sling or cheiloplasty, plication or transposition of the orbicularis oris muscle, and digastric muscle transfer.
Answer Discussion :
H
Halal Osakwe
Profile
I’ll advice her to bring her child in for consultation. The treatment modalities involves a specialized consultation with a Pediatrician and a cardiologist to rule out a congenital heart malformation, as this condition could be associated with incomplete development of organs.
3 Days ago
S
Shilpa Rahamatkar
Profile
look for any other congenital anomalies......if they are not present...
no treatment...independently it causes no problems ....

5 Days ago
S
susana esteban
Profile
I think that if the rest of the physical exploration is normal any treatment is required
5 Days ago
S
Steven A. Shapiro
Profile
Reassurance that it is likely congenital and should not impair feeding language deelopment or breathing
6 Days ago
M
Maria Laura Perez
Profile
i suggest a cardiology and oftalmplogy exam. if everything is ok, talk to this parents because is just facial asymmetry.
6 Days ago




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