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At least 1,261 records · Page 70Linked to original sources
PubMed2001

[Benign melanosis of the lip. Treatment with the Q-switched ruby laser].

BACKGROUND AND OBJECTIVE: Benign melanosis of the lip represents a cosmetic problem for many of those who are afflicted. It responds well to therapy with Q-switched lasers. The value of previous studies has been limited by small numbers of cases or short follow-up times. PATIENTS/METHODS: In a retrospective study 9 patients were treated by the Q-switched ruby laser (694 nm, pulse duration 25-40 ns, spot size 4 mm, energy density 10 J/cm2) in the period from 5/94 to 10/99. The benignity of the lip melanosis was determined dermatoscopically. In one case, the diagnosis was also confirmed histologically by a punch biopsy. The follow-up time was between 6 months and 5 1/2 years. RESULTS: In 3 cases a complete clearance of the melanosis was achieved after one session, while in 6 patients a second treatment was required. There were no recurrences. Scars or pigment alterations were likewise not observed. CONCLUSIONS: The treatment of benign melanosis of the lip with the Q-switched ruby laser is an elegant and safe method with excellent cosmetic results.

Adult↗
PubMed1984

Lip function: a study of oral continence.

Oral continence is achieved through the harmonious interplay of several factors of which the most important are the lip sensitivity, the strength of the orbicularis oris muscle and the height of the lip curtain. Forty-four persons with varying degrees of oral incontinence and diverse lip disorders were then examined and compared against the normal values. Significantly low values for all three factors found in the orally incontinent patients supported our hypothesis that the normality of these factors is essential for the maintenance of the oral seal. Central causes of dribbling, such as mental retardation and salivary over-secretion, irrespective of etiology, are not considered here.

Female↗
PubMed1989

Repair of bilateral cleft lip over prominent premaxilla.

Our experience of 25 cases of Millard's repair for bilateral cleft lip is described. We close the alveolus and anterior palate at the same time. The technique is applicable even in the presence of a prominent premaxilla with no previous oral orthopaedics of lip adhesion. The surgical correction of a bilateral cleft lip and palate is completed in two operative procedures. We show that good aesthetic and functional results were achieved.

Adolescent↗
PubMed1990

A comparative study of surgical results with rotation-advancement and triangular flap techniques in unilateral cleft lip.

This paper presents a randomised comparative study of surgical results of unilateral cleft lip repair with 58 rotation-advancement and 50 triangular flap repairs, the two commonly used types of repair at present, carried out over a period of 6 years. The surgical results following both repairs were assessed on a scoring basis. No significant difference was found in overall postoperative appearance of lip and nose between the two types of repair. As a result, we recommend either technique for unilateral cleft of the lip.

Cleft Lip↗
PubMedDate not supplied

Propeller flap for reconstruction of the tubercle of the upper lip.

A technique is presented for the correction of the whistling deformity of the upper lip, which is commonly seen in patients with repaired bilateral cleft lip. Two opposing transposition flaps based on the central portion of the upper vermilion are used. The shape of these flaps resembles a two-bladed propeller, thus we call the technique the "propeller flap". Each of the blades is rotated 180 degrees and the resulting dog-ear helps to add volume to the upper lip tubercle. Some representative cases are presented.

Adolescent↗
PubMed2005

One-stage reconstruction of a large defect of the lower lip and oral commissure.

Large lower lip defects including the oral commissure are very difficult to reconstruct and obtain an aesthetic appearance and an acceptable function. We report two patients who had a large defect in the lower lip including oral commissure and were treated using free radial forearm flap and temporal muscle transfer in one-stage. For the cutaneous defects, in one a local flap was elevated from the adjacent cheek and in the other a turned over area of the forearm flap was used. In each case, the reconstructed lower lip could maintain adequate elevation of oral the commissure using the temporal muscle was worked. The first case which used a local flap externally could avoid sialorrhea and had good sensation, and could close the mouth firmly soon after surgery. The appearance was acceptable. In the other case, leakage of oral contact and air occurred at the oral commissure because of the thickness of the forearm flap but improved after minor correction some 8 months after the surgery.

Aged↗
PubMed2003

Nasolabial and alveolar morphology following presurgical orthopaedic treatment in complete unilateral clefts of lip, alveolus and palate.

INTRODUCTION: The purpose of this study was to assess the three-dimensional (3-D) facial and alveolar morphology of patients with unilateral clefts of lip, alveolus and palate by means of a computer-aided diagnosis system. PATIENTS AND METHODS: Maxillary orthopaedic treatment was performed using soft/hard acrylic plates (Hotz's) within 2 weeks of birth. The nasolabial and alveolar morphology of 15 patients was evaluated before orthopaedic treatment (2 weeks of age) and before cheiloplasty (3 months of age). Nasolabial form was measured using a 3-D optical scanner. Twenty-one landmarks were extracted from the data and analysed linearly and angularly. Alveolar forms were measured with a high-accuracy contact-type 3-D digitizer on plaster casts. Seven landmarks were digitized and analysed linearly and angularly. RESULTS: Some growth was observed in the intercanthal distance, alar width, intercommissural width, and height of the lip. There was little change in the width of the cleft lip or displacement of the columella base, while the alveolar cleft narrowed. CONCLUSION: Presurgical orthopaedics reduces cleft width and makes subsequent surgery easier.

Acrylic Resins↗
PubMed2002

[Etiology of lip defects].

Lips repair cannot be considered until the characteristics of the loss of substance which are given by its aetiology, has been carefully determined. Traumatic aetiologies remain dominated by accidents on the public roads associated more often with adjacent damage. Dog bites remain the burden of children and always raise the problem of their septicity. For burns there is a need to wait for the organism to delimit its own viable tissues. Ballistic traumatisms will lead to major damage where functional repair to the lips can often be very difficult. Tumours of the lips, essentially malignant, lead to wide exeresis, where the margins are dictated by histological findings. They, of course, pose the problem of eventual neck node dissection and are dominated by squamous cell carcinomas.

Accidents, Traffic↗
PubMed1990

Secondary correction of bilateral cleft lip nose deformity.

For correction of the bilateral cleft lip nasal deformity, a modified bilateral reverse U incision is used in combination with a short, forked flap; by using this combination, satisfactory lengthening of the columella, preserving the natural pout of the lip, can be obtained. We have applied this method to 12 cases undergoing secondary repair of bilateral cleft lip in the past 3 years, and the results of this treatment, along with representative photographs of some of our patients, are presented herein.

Adolescent↗
PubMed1989

Single stage repair of the median cleft lip deformity in holoprosencephaly.

A single stage repair of the median cleft lip in holoprosencephaly is presented. The use of a superiorly-based pedicle from the nasal lobule/columellar remnant for columellar creation and a free skin graft from excess horizontal lip tissue for philtral reconstruction, in addition to medial rotation of the lateral lip segments, permits complete repair in one procedure. Such an approach offers the advantage of a reduction in number of procedures and anaesthetic exposure in the severely medically compromised holoprosencephalic patient.

Abnormalities, Multiple↗
PubMed1996

Analysis on photographs of the growth of the cleft lip following a rotation-advancement flap repair: preliminary report.

A preliminary report is submitted on the growth of the lip after repair of a unilateral complete cleft (with a modified rotation-advancement flap) in 20 patients. In half of these cases an additional small Z-plasty was performed. The patients were photographed by a standardized method immediately after surgery and again after 18 months. Lip length on the operated side was measured and compared with the opposite side; possible results were: equal, long and short. After 18 months, 65% of all cases remained unchanged, 25% had lengthened and 10% shortened. Among cases treated with an additional small Z-plasty, unchanged and lengthened cases had an almost equal distribution, while the majority (8 out of 10) of the cases treated without Z-plasty remained unchanged. Consequently, the authors emphasize the benefits of reconstructing the cleft lip as symmetrical to the opposite side as possible or, at the most, moderately shorter only in cases treated with an additional Z-plasty.

Calibration↗
PubMed1997

Diseases of the lips.

The vermilion of the lips was conceptualized by Jean Darier as the semi-mucosa. The anatomy of the lips is transitional from skin to mucous membrane. This article emphasizes inflammatory diseases of the lips known as cheilitis. Angular cheilitis is a reactive process with several possible causes, including infections, mechanical, nutritional deficiency, and various dermatoses. Contact cheilitis may be caused by a primary irritant or a delayed hypersensitivity allergic reaction to contactants. Plasma cell cheilitis is a reactive periorificial mucositis. Exfoliative cheilitis is also a reactive process, probably secondary to factitious activity of the patient. Cheilitis glandularis is a chronic inflammatory disorder of the labial salivary glands and their ducts. There are three forms: simple, superficial suppurative, and deep suppurative. A premalignant potential is present in cheilitis glandularis. Cheilitis granulomatosa is one manifestation of orofacial granulomatosis. The granulomatous conditions of Melkersson-Rosenthal syndrome, sarcoidosis, and Crohn's disease may be associated with cheilitis granulomatosa or it may stand alone as Miescher's cheilitis. Actinic cheilitis is another premalignant form of cheilitis that is amenable to a variety of therapeutic modalities.

Allergens↗
PubMed2001

A randomised prospective clinical trial into the effect of infant orthopaedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft).

Aim of the study was to evaluate the effect of infant orthopaedics (IO) on maxillary dimensions in infants with unilateral cleft lip and palate (UCLP). The study design was a prospective two-arm randomised controlled trial in parallel with three participating academic Cleft Palate Centres. Treatment was assigned by means of a computerised balanced allocation method. One group (IO+) wore passive maxillary plates during the first year of life, the other group (IO-) did not. Maxillary casts, made at birth, and at 15, 24, 48, 78 wk were digitised three-dimensionally. Before lip closure alveolar, midpalatal and posterior cleft width reduced significantly more in IO(+) than in IO(-). After lip closure, the alveolar cleft width reduced significantly more in IO(-). Until soft palate closure the slope of the palatal vault flattened significantly by IO. It is concluded that IO only has a temporary effect on maxillary arch dimensions that does not last beyond surgical soft palate closure. Therefore, infant orthopaedics as a tool to improve maxillary arch form could be abandoned. However, other outcome variables like facial and dental appearance, speech outcome, and cost-effectiveness need to be investigated further in order to assess the comprehensive effect of infant orthopaedics.

Alveolar Process↗
PubMed1997

Soft tissue profile changes of reverse headgear treatment in Chinese boys with complete unilateral cleft lip and palate.

Midface retrusion in cleft lip and palate patients often results in personal, social, and psychological problems, along with the functional difficulty. Hence, soft tissue profile improvement in early childhood is of obvious importance. The purpose of this study was to investigate the soft tissue changes that occur during reverse headgear treatment in a homogeneous sample of Chinese boys born with unilateral complete cleft lip and palate. Boys with a similar congenital deformity and presenting similar skeletal morphology and maturity status were included for comparison. After 7.8 months of reverse headgear treatment, the soft tissue profile improved significantly as the concave tendency associated with maxillary deficiency decreased. The sagittal maxillomandibular lip relationship and the Holdaway angle increased significantly by 4.25 and 3.94 degrees, respectively.

Cephalometry↗
PubMed2000

Modified Burow's wedge flap for upper lateral lip defects.

BACKGROUND: There are fundamental concepts we use in managing surgical defects. Whether planning a primary closure or a local flap, we frequently modify the basic design to maximize aesthetic outcomes, taking into consideration a number of factors including the location of the defect and tissue availability. OBJECTIVE: We describe a modified Burow's wedge flap for upper lateral lip defects. METHOD: Report of an illustrated case. RESULT: A patient with an upper lip defect was successfully reconstructed using the modified Burow's wedge flap, where the Burrow's wedge is placed on the mucocutaneous lip. CONCLUSION: Certain modifications of commonly used reconstructive techniques can be utilized in specific situations to enhance cosmesis. For the Burow's wedge flap, the dermatologic surgeon has several options in placing the Burow's triangle. This is an example of how alternatives in a closure can be used depending on the laxity of the skin and the size of the defect. Advantages and disadvantages of this alternative placement of the Burow's triangle are discussed.

Aged↗
PubMed2001

The staircase technique for treatment of cancer of the lower lip: a report of 36 cases.

PURPOSE: This article reports the authors' experience with treatment of lower lip cancer using the staircase technique. PATIENTS AND METHODS: Thirty-six patients with stage T1 or T2 cancers of the lower lip were treated. RESULTS: No recurrences were observed during a 6- to 32-month follow-up. All patients showed excellent aesthetic results and no microstomia. CONCLUSIONS: The staircase technique can be used to close defects of up to two thirds of the lower lip. Two bilateral symmetric flaps are used for median defects; 2 bilateral asymmetric flaps are used for paramedian defects greater than 20 mm; and only 1 contralateral flap is required for paramedian defects up to 20 mm.

Aged↗
PubMed2002

V-Y advancement flap for the reconstruction of partial and full thickness defects of the upper lip.

We analysed the records of 25 patients who had their upper lips reconstructed after resection of a tumour. All the repairs were done with triangular cutaneous and musculocutaneous flaps with a skin island with V-Y advancement, and a subcutaneous or muscular pedicle with or without mucosa. The choice of flap was based on the width of the defect after the tumour had been resected. A subcutaneous pedicled flap was used in 14 patients; a musculocutaneous flap not including the mucosa in 5, and including the mucosa in 6. This flap can be used to repair upper lip defects of any thickness. The procedure is quite safe from a circulatory point of view and the flap has the advantage of requiring only one procedure. It is aesthetically satisfactory in most patients and maintains the good function and sensitivity of the lip.

Esthetics↗
PubMed2002

Cephalometric soft tissue profile in unilateral cleft lip and palate patients.

Soft tissue profile analysis from cephalometric radiographs is recognized as an important part of the assessment of treatment outcome in cleft lip and palate (CLP), and has previously been found to discriminate between groups better than conventional hard tissue cephalometric analysis. Cephalometric radiographs of 182 12-14-year-old children from the UK with complete unilateral cleft lip and palate (UCLP) were available for this investigation, which aimed to describe the cephalometric soft tissue findings for this group of UK children. Seven soft tissue profile angular variables were measured using Dentofacial Planner Plus (DFP). Thirty films were re-measured two weeks later to assess the reliability of the method, which was acceptable for most of the variables, although use of landmarks related to the lips increased error. Mean nasolabial angle (97.44 degrees), facial convexity (138.02 degrees), and soft tissue ANB (2.99 degrees) compared unfavourably with previously reported data. These findings support the data given in the Clinical Standards Advisory Group study. Soft tissue profile assessment from cephalometric radiographs has acceptable reliability. The results of treatment show poor outcome in the UK compared with published data.

Adolescent↗