Facial plast Surg 1998; 14(2): 173-177
DOI: 10.1055/s-2008-1064342
Special Contribution

© 1998 by Thieme Medical Publishers, Inc.

Vertical Suture Plication of the Orbicularis Oris Muscle: A Simple Procedure for the Correction of Unilateral Marginal Mandibular Nerve Paralysis

Richard L. Arden, Pradeep K. Sinha
  • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan
Further Information

Publication History

Publication Date:
02 June 2008 (online)


Injury to the marginal mandibular nerve is present as an adverse outcome in many surgical procedures. The resultant cosmetic deficit, manifesting lower lip asymmetry and imbalance, is readily noticeable especially during opening of the mouth. Multiple techniques to correct this deformity have been described, but most involve obvious scars or major procedures. A simple, one-step outpatient procedure, which can be performed under local anesthesia with a camouflaged scar, is described to correct the lip malposition.