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Bjarnesen Mølstrøm AP, Chakari W, Thomsen JB. Reduction cheiloplasty with lateral wedge excisions in cheilitis granulomatosa. BMJ Case Rep 2024; 17:e261439. [PMID: 39256174 DOI: 10.1136/bcr-2024-261439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/12/2024] Open
Abstract
This case presents a method of reductive cheiloplasty: Conway's method with lateral and bilateral wedge excisions contained to the vermillion. It was performed on a female patient with cheilitis granulomatosa after 4 years of trying different medical therapies without effect. The surgery successfully reduced the increased volume, facilitating improved aesthetics and function while preserving oral function, muscle strength as well as sensitivity with no recurrence at the 15-month follow-up. We encourage early collaboration between dermatologists and plastic surgeons regarding the timing of a potential surgery when treating cheilitis granulomatosa.
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Affiliation(s)
| | - Wahida Chakari
- Department of Plastic and Reconstructive surgery, Odense University Hospital, Odense, Denmark
| | - Jørn Bo Thomsen
- Department of Plastic and Reconstructive surgery, Odense University Hospital, Odense, Denmark
- Research Unit for Plastic Surgery, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Hasan S, Khan A, Banerjee A, Ramalingam K. Infantile Hemangioma of the Upper Lip: Report of a Rare Case With a Brief Review of Literature. Cureus 2023; 15:e42556. [PMID: 37637601 PMCID: PMC10460138 DOI: 10.7759/cureus.42556] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2023] [Indexed: 08/29/2023] Open
Abstract
Hamartomas are tumor-like abnormalities typified by the presence of cellular proliferation indigenous to the native site. However, hamartomas maintain growth cessation without the potential for further growth or malignant transformation. Hamartomas are commonly seen in the lungs, kidney, liver, and spleen and rarely occur in the orofacial region. Various hamartomatous oral lesions include hemangiomas, lymphangiomas, tori, exostosis, dens invaginatus, dens evaginatus, odontomas, nevi, and cherubism. Infantile hemangiomas are benign vascular tumors that emerge soon after birth and experience rapid growth within the first year. Oral hemangiomas affect up to 6.4% of infants and are more common on the ventral surface of the tongue, as opposed to oral vascular malformations, which are more prevalent on the lips. It also has a 3:1 female-to-male predominance. Afterward, their growth usually stabilizes and enters a prolonged, incomplete involution phase. Uncomplicated hemangiomas generally exhibit spontaneous resolution, whereas few can leave behind scars and telangiectasias on the external surface of the skin on which it occurs. Thus, lesions located in anatomically sensitive regions necessitate vigilant surveillance and treatment. This paper deals with an asymptomatic swelling of the upper lip in a four-year-old female child but with problems in aesthetics, speech, and feeding. A thorough history, clinical examination, positive diascopy, ultrasonography, and histopathology confirmed the diagnosis of infantile hemangioma.
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Affiliation(s)
- Shamimul Hasan
- Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND
| | - Ateeba Khan
- Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND
| | - Abhishek Banerjee
- Oral and Maxillofacial Pathology, Awadh Dental College and Hospital, Jamshedpur, IND
| | - Karthikeyan Ramalingam
- Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
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Cámara-Pérez J, Zapata-Negreiros JC, Alonso PE, Leiva-Cepas F. Surgical management of Miescher's cheilitis: a case report. GMS INTERDISCIPLINARY PLASTIC AND RECONSTRUCTIVE SURGERY DGPW 2021; 10:Doc09. [PMID: 34540529 PMCID: PMC8422940 DOI: 10.3205/iprs000159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Miescher’s cheilitis, also known as cheilitis granulomatosa, is an infrequent disease characterized by chronic recurrent swelling of one lip or both lips. It is considered as one of the three main symptoms of the triad of the Melkersson-Rosenthal syndrome, although in many cases it may develop monosymptomatically. The initial management is based on the administration of corticoids, followed in many cases by the use of other systemic treatments. Nevertheless, because recurrence is quite frequent, surgery remains in many cases as the only definitive treatment. In this report we present the case of a Caucasian woman with Miescher’s cheilitis who was successfully surgically managed.
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Affiliation(s)
- Juan Cámara-Pérez
- Department of Plastic and Reconstructive Surgery, Hospital Universitario Reina Sofia, Cordoba, Spain
| | | | - Pedro Enrique Alonso
- Department of Plastic and Reconstructive Surgery, Hospital Universitario Reina Sofia, Cordoba, Spain
| | - Fernando Leiva-Cepas
- Department of Pathology, Hospital Universitario Reina Sofía, Córdoba, Spain.,Department of Morphological Sciences, Medicine & Nurse School, University of Cordoba, Cordoba, Spain.,Research Group on Muscle Regeneration, University of Cordoba, Cordoba, Spain
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Dondi A, Di Altobrando A, Parladori R, Biagi C, Patrizi A, Lanari M, Neri I. Insights into Mycoplasma-associated mucocutaneous disease. Clin Exp Allergy 2021; 51:982-983. [PMID: 33817863 DOI: 10.1111/cea.13879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 03/30/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Arianna Dondi
- Department of Pediatric Emergency, IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
| | - Ambra Di Altobrando
- Dermatology Division, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
| | - Roberta Parladori
- Specialty School of Pediatrics, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Carlotta Biagi
- Department of Pediatric Emergency, IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
| | - Annalisa Patrizi
- Dermatology Division, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
| | - Marcello Lanari
- Department of Pediatric Emergency, IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
| | - Iria Neri
- Dermatology Division, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
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Dondi A, Di Altobrando A, Parladori R, Biagi C, Balsamo C, Ghizzi C, Patrizi A, Lanari M, Neri I. Duck-like lips: a new clinical feature for diagnosis of Mycoplasma-Induced Rash and Mucositis. J Eur Acad Dermatol Venereol 2020; 35:e225-e227. [PMID: 32977352 DOI: 10.1111/jdv.16952] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A Dondi
- Pediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), St. Orsola University Hospital, Bologna, Italy
| | - A Di Altobrando
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - R Parladori
- Pediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), St. Orsola University Hospital, Bologna, Italy
| | - C Biagi
- Pediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), St. Orsola University Hospital, Bologna, Italy
| | - C Balsamo
- Department of Pediatrics, Maggiore Hospital, AUSL Bologna, Bologna, Italy
| | - C Ghizzi
- Department of Pediatrics, Maggiore Hospital, AUSL Bologna, Bologna, Italy
| | - A Patrizi
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - M Lanari
- Pediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), St. Orsola University Hospital, Bologna, Italy
| | - I Neri
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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Benign tumours and tumour-like lesions in the oral cavity: a retrospective analysis. Postepy Dermatol Alergol 2018; 36:744-751. [PMID: 31998005 PMCID: PMC6986298 DOI: 10.5114/ada.2018.78805] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Accepted: 07/22/2018] [Indexed: 11/17/2022] Open
Abstract
Introduction Oral lesions are divided into non-neoplastic lesions, potentially malignant lesions and neoplastic lesions. More clinical data are needed to determine their helpful clinical pattern. Aim To present the epidemiological, clinical and histopathological characteristics of the oral lesions. Material and methods The retrospective study group comprised records of 208 patients which were reviewed according to selected epidemiological and clinical features. All the biopsy specimens were classified into: reactive lesions, precancerous lesions/potentially malignant lesions, salivary gland pathologies, benign and malignant tumours. Results The lower lip was the most common site involved followed by buccal and vestibular mucosa. The most frequent diagnoses were fibroma, mucocele and papilloma. The predominant pathomorphological forms were nodule and bulla. The most frequent salivary gland pathology was mucocele. Fibroma was the most frequent pathomorphological diagnosis, followed by mucocele and reactive lesions such as irritation fibroma (IF) and granuloma. Conclusions In cases of oral mucosal lesions, we propose the following algorithm: the exclusion of all odontogenic and iatrogenic causes; the detection and elimination of harmful habits, parafunctions and irritants from the oral cavity especially from the vestibule of the oral cavity and from the lips; all surgical treatment should be performed only after the proper detection and elimination of causative factors to decrease the risk of recurrence; excisional biopsy or in more diffuse lesions incisional biopsy is recommended to confirm clinical diagnosis; and consideration of other factors that can modify the clinical pattern of oral lesions, such as oral hygiene, systemic diseases, and drugs.
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