Surgical management of lateral facial clefts (macrostomia) by means of a rotational flap method

: Five cases lateral facial cleft (macrostoma) received in 30 years period are presented. The embriological background and the theories of the ethiopathogenesis are discussed. The authors' method to repair the abnormality--in spite of simple closure--is the modified Estlander flap surgery, which is described in details. The necessity of early treatment is emphasized. One case is presented in details.