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Oral Surgery, Oral Medicine, and Oral... Dec 1991Zygomycosis is an uncommon polymorphic fungal disease. One clinical subtype, nasofacial zygomycosis, is caused by infectious exposure to the organism Conidiobolus...
Zygomycosis is an uncommon polymorphic fungal disease. One clinical subtype, nasofacial zygomycosis, is caused by infectious exposure to the organism Conidiobolus coronatus. A case affecting the nose and lips of a 42-year-old Malay man is reported here. The clinicopathologic features and management of this disease are described, and its differential diagnosis is discussed.
Topics: Adult; Humans; Lip Diseases; Male; Mucorales; Mucormycosis; Nose Diseases; Potassium Iodide
PubMed: 1812451
DOI: 10.1016/0030-4220(91)90011-z -
BMJ (Clinical Research Ed.) Sep 2019
Topics: Acyclovir; Adolescent; Antiviral Agents; Exanthema; Female; Humans; Immunocompromised Host; Lip Diseases; Stomatitis, Herpetic
PubMed: 31537536
DOI: 10.1136/bmj.l5014 -
Dermatologic Surgery : Official... Jan 2013
Topics: Adult; Chronic Disease; Female; Humans; Lip Diseases; Male; Middle Aged; Surgical Flaps; Suture Techniques; Young Adult
PubMed: 22989143
DOI: 10.1111/j.1524-4725.2012.02583.x -
Dental Update Nov 2016This series of three papers reviews the causes, diagnosis and differential diagnosis, and outlines the management of sore and/or swollen lips. Clinical relevance: Sore... (Review)
Review
This series of three papers reviews the causes, diagnosis and differential diagnosis, and outlines the management of sore and/or swollen lips. Clinical relevance: Sore and/or swollen lips are not uncommon, often have a local cause but may reflect a systemic disease. This first part of a series of three papers reviews their causes and diagnosis alphabetically, for ease of reference.
Topics: Edema; Humans; Lip Diseases
PubMed: 29152959
DOI: 10.12968/denu.2016.43.9.874 -
Journal of the European Academy of... Jun 2015Mucosal leishmaniasis (ML), which mostly occurs in the New World, is mainly associated with Leishmania braziliensis. Primary lip ML is very rare in the Mediterranean...
BACKGROUND
Mucosal leishmaniasis (ML), which mostly occurs in the New World, is mainly associated with Leishmania braziliensis. Primary lip ML is very rare in the Mediterranean basin and particulary in Tunisia despite the endemicity of both cutaneous and visceral leishmaniasis in this area.
OBJECTIVES
To highlight a recent emergence of primary lip ML in Tunisia, to describe its epidemiological and clinical features and to identify the causative Leishmania species.
METHODS
Epidemiological, clinical and therapeutic data of 10 cases presenting a ML of the lip were collected. Diagnosis confirmation of leishmaniasis was obtained by microscopic examination of Leishmania parasites in Giemsa stained smears of the lesion sampling and in cutaneous biopsies. Polymerase chain reaction (PCR) detecting Leishmania DNA directly from dermal scraping was also performed for diagnosis and species identification.
RESULTS
Seven men and three women with lip ML were diagnosed during the last 6 years (2008-2013). The mean age was 29.7 years. Clinical presentation was characterized by an infiltrated and ulcerated plaque leading to macrocheilitis involving the upper lip in eight cases and the lower lip in two cases. Mean diagnosis delay was 6.9 months. PCR identified L. infantum in seven cases and L. major in two cases. Seven patients received intramuscular injections of meglumine antimoniate (MA) and three patients received both MA intralesional injections of MA and cryotherapy. A clinical remission was rapidly observed in all cases (on average in 2.2 months).
CONCLUSIONS
Primary lip ML is emerging in Tunisia. Macrocheilitis of the upper lip is the main clinical presentation. PCR revealed more sensitive than direct examination in the diagnosis of such form (P < 0.01). Leishmania infantum was the most identified species (7 cases) while L major was involved in only two lesions. A benign local evolution and a rapid recovery were observed in all cases after MA treatment.
Topics: Adolescent; Adult; Antiprotozoal Agents; Cheilitis; Combined Modality Therapy; Communicable Diseases, Emerging; Cryotherapy; Female; Humans; Leishmania infantum; Leishmania major; Leishmaniasis, Mucocutaneous; Lip; Lip Diseases; Male; Meglumine; Meglumine Antimoniate; Middle Aged; Organometallic Compounds; Tunisia; Young Adult
PubMed: 24910266
DOI: 10.1111/jdv.12580 -
Plastic and Reconstructive Surgery Mar 2000The lips are a complex laminated structure. When lost through injury or disease, they present a complex reconstructive challenge. The facial artery musculomucosal (FAMM)...
The lips are a complex laminated structure. When lost through injury or disease, they present a complex reconstructive challenge. The facial artery musculomucosal (FAMM) flap is a composite flap with features similar to those of lip tissue. In this article, the anatomy, dissection, and clinical applications for the use of the FAMM flap in lip and vermilion reconstruction are discussed. A series of 16 FAMM flaps in 13 patients is presented. Seven patients had upper-lip reconstruction and six had lower-lip reconstruction. Superiorly based FAMM flaps were used in eight patients, and eight inferiorly based flaps were performed in five patients. Three patients had bilateral, inferiorly based flaps. In summary, the FAMM flap is a local flap that can be used for lip and vermilion reconstruction. Although not identical to the lip, it has many similar features, which make it an excellent option for lip reconstruction.
Topics: Adolescent; Adult; Arteriovenous Malformations; Female; Humans; Lip; Lip Diseases; Lip Neoplasms; Male; Middle Aged; Osteoradionecrosis; Plastic Surgery Procedures; Surgical Flaps
PubMed: 10724244
DOI: 10.1097/00006534-200003000-00007 -
The British Journal of Oral &... Aug 1995We report an unusual presentation of orofacial actinomycosis mimicking the clinical appearance of a minor salivary gland tumour of the upper lip. Histological...
We report an unusual presentation of orofacial actinomycosis mimicking the clinical appearance of a minor salivary gland tumour of the upper lip. Histological examination confirmed the diagnosis and we think that the lesion was caused by infection of a mucocele of the upper lip by Actinomyces israelii, an oral commensal.
Topics: Abscess; Actinomycosis; Adult; Diagnosis, Differential; Female; Granuloma, Foreign-Body; Humans; Lip Diseases; Mucocele; Salivary Gland Neoplasms; Salivary Glands, Minor
PubMed: 8736753
DOI: 10.1016/0266-4356(95)90011-x -
Acta Dermato-venereologica 2002
Topics: Aged; Antiprotozoal Agents; Azure Stains; Humans; Leishmaniasis, Cutaneous; Lip Diseases; Male; Meglumine; Meglumine Antimoniate; Organometallic Compounds; Treatment Outcome
PubMed: 12575860
DOI: 10.1080/000155502762064674 -
British Dental Journal Jul 1977
Topics: Adult; Child; Humans; Lip Diseases; Male; Smallpox Vaccine; Vaccinia
PubMed: 268198
DOI: 10.1038/sj.bdj.4803943 -
Otolaryngology--head and Neck Surgery :... Sep 2010Lip paralysis is associated with eating, speaking, and appearance impairments. The lip reanimation outcome questionnaire is designed to assess these functional...
OBJECTIVE
Lip paralysis is associated with eating, speaking, and appearance impairments. The lip reanimation outcome questionnaire is designed to assess these functional impairments after lip reanimation.
STUDY DESIGN
Cross-sectional validation study.
SETTING
Tertiary care academic center.
SUBJECTS AND METHODS
Patients who underwent lip reanimation and control subjects. A disease-specific instrument was created by systematic literature review and expert opinion. The 15-item patient completed subscale was administered to 20 lip reanimation patients. Photographs of 19 patients and three control subjects were taken in four poses and rated by six raters (2 surgeons, 2 residents, and 2 novices) by the use of a external rater subscale, and reliability was determined by the use of intraclass correlation coefficients (ICC). Content and construct validity were assessed.
RESULTS
Internal consistency (ICC range 0.813-0.915 for each domain), test-retest reliability (ICC range 0.616-0.981 for each item) for the patient completed subscale, and interrater (ICC = 0.852) and interlevel reliability (ICC = 0.929) for the external rater subscale were substantial to excellent. The content validity index was 0.87. Construct validity was demonstrated by poorer scores in patients with transected nerves versus intact nerves for appearance (P = 0.04) and oral competence (P = 0.011). Photographs of control patients had lower asymmetry scores (P < 0.001), and the instrument detected greater asymmetry in patients with progressively more exaggerated smile (P < 0.001).
CONCLUSION
The lip reanimation outcome questionnaire has promising reliability and validity in this preliminary study, but additional psychometric testing with larger samples is required before the survey can be recommended for clinical use.
Topics: Aged; Cohort Studies; Cross-Sectional Studies; Disability Evaluation; Facial Paralysis; Female; Humans; Lip Diseases; Male; Middle Aged; Motor Activity; Observer Variation; Quality of Life; Recovery of Function; Reproducibility of Results; Surveys and Questionnaires; Treatment Outcome
PubMed: 20723772
DOI: 10.1016/j.otohns.2010.05.015