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2.1
Commissural Lip Fistula
Cleft Lip-Palate with Mucous Cysts of Lower Lip

Presentation

This rare presentation further depicts wide range of presentation of lip pits in VWS. [saudijos.org]

A case of infected congenital commissural lip fistula is presented. It appeared as a cheek swelling associated with inflammation due to infection. This case was treated with antibiotics and surgical drainage through the fistula. [ncbi.nlm.nih.gov]

They usually present as bilateral and symmetric fistulas on either side of the midline of the vermilion of the lower lip. [2] Occasionally only a single pit is present that may be centrally located. [mjmsr.net]

These features indicate the variable clinical presentation of this syndrome. [jorr.org]

Isolated lip pits with nonfamilial involvement as seen in the present case are sporadic in the literature. [ijdr.in]

Entire Body System

  • Surgical Procedure

    Three different surgical techniques have been described: Simple excision, vertical wedge resection, or inverted-T lip reduction. [5] Although the latter has been shown to be a superior surgical procedure, the other techniques are also effective. [njms.in]

    We present this case for its rarity and the gratifying outcome of the surgical procedure. [archintsurg.org]

    Figure 1 Clinical photographs showing surgical procedure for inserting nasolabial flap. ( A ) Two discrete lesions on the lower lip and commissure. ( B ) Front view of patient with mouth closed. ( C ) Lateral profile, showing incision. ( D ) Front view [wjso.biomedcentral.com]

    This is indicated where the patient has gone through several unsuccessful surgical attempts and is no longer willing to undergo another procedure. [ijps.org]

    The questionnaire takes into account the impact of surgical procedures on the QOL in relation to a radial forearm free flap for lower lip reconstruction. [omicsonline.org]

  • Dysostosis

    Mandibulofacial dysostosis (Treacher Collins syndrome) Pierre Robin syndrome Marfan’s syndrome (arachnodactyly) Down syndrome (trisomy 21; mongolism) Osteopetrosis Achondroplasia (chondrodystrophia fetalis) Osteitis deformans (Paget’s disease of bone [copleyoralsurgery.com]

    Diagnostic Considerations These include the following: Commissural lip pits Orodigitofacial dysostosis Popliteal pterygium syndrome Differential Diagnoses Pediatric Cleft Lip and Palate Hixon K, Rhea L, Standley J, Canady FJ, Canady JW, Dunnwald M. [emedicine.medscape.com]

Jaw & Teeth

  • Dental Caries

    Salient Features Extensively revised and updated chapters Temporomandibular Joint Diseases section completely rewritten Physical and Chemical Injuries of the Oral Cavity chapter updated Extensive revision of Dental Caries and Forensic Odontology chapters [books.google.es]

    Intraoral examination revealed moderate amounts of calculus and stains, dental caries in relation to 37 and 47, partially erupting 48, generalized bleeding on probing, and gingival recession in relation to 16,17, 26, 27, 31, 32, 33, 36, 37, 41, 42, 43 [jiaomr.in]

    Modern theory of caries development Dental caries is a disease of dental hard tissues with a multifactorial aetiology. [tankonyvtar.hu]

Cardiovascular

  • Heart Disease

    Circulation 105:1099–1103 Corno AF (2000) Surgery for congenital heart disease. [epdf.tips]

    Types True Congenital Acquired Apparent / Relative [Abnormal positioning/ relation of one jaw to the other or skull] 5 Congenital Micrognathia Etiology unknown Associated with other congenital abnormalities like congenital heart disease and pierre robin [slideplayer.com]

    Lip pits, cleft lip and/or palate, and congenital heart disease. Am J Dis Child. 1980 Mar. 134(3):293-5. [Medline]. Puvabanditsin S, Garrow E, Sitburana O, et al. Syngnathia and Van der Woude syndrome: a case report and literature review. [emedicine.medscape.com]

    Congenital lower lip pits have also been reported to occur in three other syndromes: Popliteal pterygium syndrome (lower lip pits, oral clefts, syngnathia, popliteal web, toenail dysplasia, syndactyly of the toes, congenital heart disease, and genital [saudijos.org]

    Clinical manifestation of popliteal pterygium syndrome is popliteal webbing, cleft palate with or without cleft lip, congenital heart disease, genital and nail anomalies, lower lip pits, syngnathia, and syndactyly. [5], [10] The manifestations of oro-facial-digital [ijdr.in]

Musculoskeletal

  • Long Arm

    P., Donnai, D., Colley, A., Dixon, J., Williamson, R. ( 1991 ) The gene for Treacher-Collins syndrome maps to the long-arm of chromosome 5. American Journal of Human Genetics 49 : 17 – 22 Kumar, S., Kimberling, W. J., Kenyon, J. B., Smith, R. J. [journals.cambridge.org]

    […] with paramedian (one case reported) Docsity.com 2 Pits (Fistulas) • Paramedian lip pits – Blind ends – Presence of salivary glands – van der Woude syndrome (AD) • Interferon regulatory factor 6 gene mutations (role in fusion of lip and palate); chr 1 long [docsity.com]

Skin

  • Skin Disease

    Parahemophilia Afibrinogenemia Hypofibrinogenemia Dysfibrinogenemia Fibrin-stabilizing factor deficiency (factor XIII deficiency) Macroglobulinemia Cryoglobulinemia Skin Diseases Hereditary hypohidrotic ectodermal dysplasia Chrondroectodermal dysplasia [copleyoralsurgery.com]

Psychiatrical

  • Suggestibility

    Our experience suggests that the possibility of infection of the fistula should be considered particularly in cases involved with angular stomatitis and/or scratching injury close to the commissure of the lips. [ncbi.nlm.nih.gov]

    This cluster of defects is suggestive of the Pena–Shokeir syndrome ( Pena and Shokeir, 1974 ). [frontiersin.org]

    Results: The results suggest that the careful and detailed planning of the size, shape and type of lip suspension influence both functional and aesthetic results. [omicsonline.org]

    The patient and his parents were reassured and surgical removal was suggested if cosmetic improvement was desired. Figure 1: Two shallow paramedian depressions on the vermilion border. [ijdvl.com]

    Linkage analysis in a large Brazilian family with van der Woude syndrome suggests the existence of a susceptibility locus for cleft palate at 17p11.2-11.1. Am J Hum Genet. 1999 Aug. 65(2):433-40. [Medline]. Shprintzen RJ, Goldberg RB, Sidoti EJ. [emedicine.medscape.com]

Treatment

Treatment: >surgical treatment 24. [slideshare.net]

Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. [icdlist.com]

Up-to-date concepts of pathogenesis and disease management help you understand the diseases that affect oral and maxillofacial structures, formulate an accurate diagnosis, and institute proper treatment. [books.google.com]

Treatment of cancer by adrenalin 62 302 Triumph of the picturesque 594 343 [books.google.es]

Prognosis

[…] includes a brief description of each individual lesion or pathologic condition and the kind of pathologic process that it represents, followed by a discussion of its clinical and/or radiographic presentation, histopathologic features, and its treatment and prognosis [books.google.com]

Significantly revised and updated content throughout this edition brings you the latest information on the etiology, clinical features, histopathology, treatment, and prognosis of each disease entity, as well as cutting-edge topics such as bisphosphonate [books.google.es]

It is probably due to failure of migration of neural crest mesenchyme into the maxillary prominence at the fourth to fifth week of gestation (post-conception) The prognosis of this condition is very poor and is considered to be lethal. 4 Micrognathia [slideplayer.com]

The prognosis is quite poor. [tankonyvtar.hu]

Etiology

Etiology: The cause of the Peutz-Jeghers syndrome appears to be a germline mutation of the STK11 gene in most cases, located on band 19p13.3 23. [slideshare.net]

Significantly revised and updated content throughout this edition brings you the latest information on the etiology, clinical features, histopathology, treatment, and prognosis of each disease entity, as well as cutting-edge topics such as bisphosphonate [books.google.es]

Heredity is one of the most important factors in the etiology of these malformations. However, environmental factors are important as well. Hence it is a disease of multifactorial inheritence. [slideplayer.com]

[…] le bec - Delievre (1845) Gaz7 Med, 13, pp. 52-53., Parispt_BR dc.description.referenceWatanabe, Y., Igaku-Hakashi, O.M., Tomida, K., Congenital fistulas of the lower lippt_BR dc.description.referencereport of five cases with special reference to the etiology [repositorio.unicamp.br]

They are also called as congenital fistulas or congenital lip pits and they normally disappear by six weeks of embryonic age. [1] The etiology is unknown. [mjmsr.net]

Epidemiology

Cardinal signs, epidemiology, associated features, differential diagnosis, expressivity, genetic counselling and treatment. Eur J Orthod 2004;26:17-24. 5. Chen CH, Liao HT, Shyu VH, Chen PT. [njms.in]

Cardinal signs, epidemiology, associated features, differential diagnosis, expressivity, genetic counselling and treatment. Eur J Orthod. 2004 Feb. 26(1):17-24. [Medline]. Sertie AL, Sousa AV, Steman S, et al. [emedicine.medscape.com]

Cardinal signs, epidemiology, associated features, differential diagnosis, expressivity, genetic councelling and treatment. Eur J Orthod 2004;26:17-24. 5. Shprintzen RJ, Goldberg RB, Sidoti EJ. [jorr.org]

Epidemiology, microforms and transverse sulci. Br J Plast Surg 1981;34:26-30. 7. James O, Adeyemo WL, Emeka CI, Ogunlewe MO, Ladeinde AL, Butali A. Van der Woude syndrome: A review of 11 cases seen at the Lagos University Teaching Hospital. [saudijos.org]

Cardinal signs, epidemiology, associated features, differential diagnosis, expressivity, genetic counselling and treatment. Eur J Orthod 2004;26:17-24. 8. Shakil M, Mohtesham I. Nonsyndromic bilateral congenital lip pits: A case report. [amhsjournal.org]

Pathophysiology

[…] been known that there is an association between noma and factors such as poverty, poor oral hygiene, malnutrition, malaria, preceding viral infections, especially measles, and immunosuppressive conditions including HIV infection. [1], [2], [3], [4] The pathophysiology [mjdrdypu.org]

A comprehensive pathophysiological cardiac MRI evaluation, especially if dealing with complex congenital heart defects, requires a long time and may not be well tolerated by the patient. [epdf.tips]

Prevention

Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Mouth Disorders Your mouth is one of the most important parts of your body. It has many different functions. [icdlist.com]

Detecting, diagnosing, and preventing oral cancer. The Nurse Practitioner. Jun 1997;22(6):105,109-110,113-105 passim. 6 Spiro RH, Thaler HT, Hicks WF, Kher UA, Huvos AH, Strong EW. [headandneckcancerguide.org]

prevention of recurrence by regular use of sunscreen lip salves is advisable. [docshare.tips]

 Environmental factors  Insufficent nutrition to pregnant women OTHER FACTORS: o Defective vascular supply o Size of the tongue prevent union of affected parts o Infections, certain alcohol ,drugs and toxins o Lack of inherent developmental force [slideshare.net]

In these cases, the chance of development of ONF is higher though in experienced hands they can be prevented. The other reason is postoperative infection which is hardly seen in small children. [ijps.org]

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2.1
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