Surgical management of double lip: A case report

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ABSTRACT

Background

Double lip is a rare developmental anomaly that mainly affects the upper lip. It is characterised by the presence of excess hyperplastic tissue that gives an illusion of double organ. It may occur independently or as a component of a set of defects, mainly in Ascher's syndrome, which presentes with blepharochalasis, non-toxic thyroid enlargement and double upper lip. The aim of this article is the presentation of a case report.

Case report

The case of a 15-year-old patient with double lip treated surgically for cosmetic reasons is reported. Surgical excision under general anaesthesia was performed, without any complications neither during the surgery nor postoperatively, with no recurrence at the 2-year follow-up. Histopathological analysis showed normal oral mucosa with numerous hypertrophic mucosal glands, capillaries, and lymphocytic and plasmocytic infiltration.

Conclusion

Due to the lack of unambiguous, clear recommendations and comparative studies in the literature, the choice of the incision depends on the experience and preferences of the operator. Regular follow-ups after the surgery are crucial; though recurrences are observed rarely, long-term, regular follow-ups are suggested due to the risk of developing additional symptoms characteristic for Ascher's syndrome.

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