I have a 17 yrs old medically free male patient having facial scleroderma,without any manifestations in any other parts of his body.He has a tight perioral fibrous band causing severe limitation in his mouth opening.He has a history of previous attempts to restore the mouth opening surgically,but a relapse had taken place after each attempt.

N.B: the patient started to suffer limitation in his mouth opening since he was six years old.