Sir,
Macrostomia is one of the rarest facial anomalies
classified among facial clefts with an incidence
of 1 in 2,25,000 live births and constitutes
about 1:100-1:300[1] of all facial clefts. Bilateral
macrostomia as an isolated asyndromic entity is
extremely uncommon with the present one being
probably the 22nd reported in the literature so far