Congenital Midline Sinus of the Upper Lip: Case Report and Review of Literature

A case report of a congenital midline sinus of the upper lip in a 5-year-old girl is presented. The patient complained of intermittent swelling around the frenulum of the upper lip. The sinus was located on the midline of the philtrum just below the base of the columella. Excision of the sinus tract via an Intraoral approach gave a satisfactory result. Microscopic examination of the resected sinus revealed it to be lined by stratified squamous epithelium with sebaceous glands and hair follicles. Fifteen other cases have been reported in the English literature and are reviewed. There are two postulates that can account for the formation of the upper lip sinus based on two major theories of the development of the face: the fusion theory and the merging theory. However, the etiology of this rare congenital sinus remains obscure.

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Congenital Isolated Midline Sinus of the Upper Lip: Clinical and Embryological Approaches

The Cleft Palate-Craniofacial Journal ◽

10.1597/05-075.1 ◽

2006 ◽

Vol 43 (4) ◽

pp. 488-491 ◽

Cited By ~ 11

Author(s):

Jean-Baptiste Charrier ◽

Isabelle Rouillon ◽

Gilles Roger ◽

Françoise Denoyelle ◽

Sylvie Collon ◽

...

Keyword(s):

Histological Examination ◽

Squamous Epithelium ◽

Hair Follicles ◽

Surgical Removal ◽

Upper Lip ◽

Intraoral Approach ◽

Dermoid Sinus ◽

Inclusion Phenomenon ◽

Inclusion Phenomena ◽

Midline Sinus

Objectives Congenital sinuses or fistulas of the lip are uncommon malformations, yet true medial upper-lip fistulas (MULFs) are extremely rare. We present a new case of congenital upper-lip fistula located in the midline of the philtrum of an 8-month-old girl. Intervention Complete surgical removal was performed with a combined extra- and intraoral approach. Histological examination revealed that the fistula was lined by squamous epithelium with sebaceous and mucous glands and hair follicles. Results Several embryological hypotheses have been proposed concerning these anomalies. This article reexamines and discusses major embryological theories on pathogenesis of sinuses or fistulas of the upper lip. We propose that early ectodermal inclusion events may occur in the medial fusion area during formation of the intermaxillary process. This embryological approach is highly concordant with our recent hypothesis on nasal dermoid sinus cysts (NDSCs) pathogenesis, in which we proposed an embryological hypothesis with early ectodermal inclusion phenomenon in the midline suture area to explain NDSCs pathogenesis. Conclusions Common early ectodermal inclusion phenomena could be involved in both NDSCs and MULFs pathogenesis.

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Solitary Trichoepithelioma of Nose: A Rare Case Report and Review of Literature

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1237 ◽

2015 ◽

Vol 6 (3) ◽

pp. 115-117

Author(s):

Sachin Lal Shilpakar ◽

Bivek Aryal ◽

Shyam Thapa Chettri ◽

Apar Pokharel ◽

Deepak Paudel

Keyword(s):

Case Report ◽

Rare Case ◽

Histopathological Examination ◽

Hair Follicles ◽

Review Of Literature ◽

Solitary Lesion ◽

Biological Potential ◽

Rare Case Report ◽

The Face ◽

Head Neck

ABSTRACT The trichoepithelioma is a benign cutaneous neoplasm which is derived from hair follicles. It is common in the face, but there are only three reports of the solitary occurrence on the nose. It is often not recognized because of its rarity, controversial classification, origin and biological potential. The objective of this paper is to present a case of solitary trichoepithelioma on the nose, histopathological examination and treatment. It should be considered as a differential diagnosis of a solitary lesion of nose which is confused with basal cell carcinoma. The confirmation by histopathological examination is essential. How to cite this article Sah BP, Shilpakar SL, Aryal B, Chettri ST, Pokharel A, Mishra S, Paudel D. Solitary Trichoepithelioma of Nose: A Rare Case Report and Review of Literature. Int J Head Neck Surg 2015;6(3):115-117.

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Nevus of Ota with Rare Palatal Involvement: A Case Report with Emphasis on Differential Diagnosis

Case Reports in Dentistry ◽

10.1155/2011/670679 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4

Author(s):

Gaurav Sharma ◽

Archna Nagpal

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Oral Cavity ◽

Rare Case ◽

Indian Subcontinent ◽

English Literature ◽

Melanocytic Nevus ◽

Oral Manifestations ◽

Nevus Of Ota ◽

The Face

Nevus of Ota, a dermal melanocytic nevus, is rare in the Indian subcontinent. It presents as a brown, blue, or gray patch on the face and is within the distribution of the ophthalmic and maxillary branches of the trigeminal nerve. The oral cavity is infrequently involved in nevus of Ota. Only 11 cases have been documented in the English literature. We report a rare case of intraoral nevus of Ota in a 22-year-old male patient. This paper focuses on the differential diagnosis of oral manifestations of nevus of Ota to assist in proper followup to avert malignant transformation.

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A Sino-orbitocutaneous Fistula from Local (Native) Tonsillectomy: A Case Report

Ophthalmology Research An International Journal ◽

10.9734/or/2019/v11i430133 ◽

2020 ◽

pp. 1-4

Author(s):

N. E. Chinawa ◽

M. I. Inoh ◽

E. O. Edet

Keyword(s):

Risk Factors ◽

Case Report ◽

Sinus Tract ◽

Orbital Exenteration ◽

The Face ◽

Upper Lid ◽

The Right ◽

At Home

Background: Orbitocutaneous fistula is a known complication of orbital exenteration. Orbitocutaneous fistula arising from a tonsillectomy are quite uncommon. Risk factors for fistula development are sinus diseases, radiotherapy, inadvertent sinus penetration during mid-face and other related surgeries. Case Report: MS is a 16-year-old girl who presented with swelling of the right side of the face and neck of ten days duration following local tonsillectomy at home. Ocular examination findings showed lid swelling, ecchymosis, pus point in the medial third of the upper lid of the right eye which gave way and formed a sinus tract with the commencement of antibiotics. Discussion: Although orbitosinocutaneous fistula is uncommon with tonsillectomy however fistulae may develop following poorly performed procedure by a non-professional who may tamper with the sinuses in the course of surgery. Since asepsis was not observed, there may have also been upward track of infection to the orbit. Conclusion: Orbitosinocutaneous fistula could be a complication of poorly performed tonsillectomy.

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Dermatological Aspects of Infections Caused By Endotoxins In Teeth With Necrotic Pulps and Apical Periodontitis

Dermatology and Dermatitis ◽

10.31579/2578-8949/076 ◽

2021 ◽

Vol 6 (1) ◽

pp. 01-05

Author(s):

Daniel Jiménez Zaragoza ◽

Jorge Paredes Vieyra ◽

Francisco Javier Jiménez Enríquez

Keyword(s):

Case Report ◽

Skin Lesions ◽

Sinus Tract ◽

Purulent Discharge ◽

Radiographic Examination ◽

Odontogenic Infections ◽

Facial Region ◽

Dental Origin ◽

The Face ◽

Uncommon Case

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.

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Neurofibroma of Soft Palate: A Rare Case Report

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/aijoc-5-2-19 ◽

2013 ◽

Vol 5 (2) ◽

pp. 19-20

Author(s):

SG Smitha ◽

Smitha Soubhagya Gangaraj ◽

Lakshmi Shantharam ◽

Suguna Vijay

Keyword(s):

Case Report ◽

Soft Palate ◽

Rare Case ◽

Histopathological Examination ◽

English Literature ◽

Rare Tumor ◽

Fourth Case ◽

Intraoral Approach ◽

Rare Case Report

ABSTRACT Neurofibroma of soft palate is a rare tumor with this report being the fourth case reported in English literature. We are reporting this case of isolated neurofibroma of soft palate for its rarity. The mass was excised by intraoral approach without prior tracheostomy. Histopathological examination showed features of neurofibroma with secondary changes.

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Case Report. A Case Report of Adult Acne

Journal of Biomedical and Clinical Research ◽

10.1515/jbcr-2016-0024 ◽

2016 ◽

Vol 9 (2) ◽

pp. 154-158

Author(s):

Ivelina A. Yordanova ◽

Desislava D. Tsvetanova ◽

Diana D. Strateva ◽

Pavlina D. Yordanova-Laleva ◽

Dimitar K. Gospodinov

Keyword(s):

Case Report ◽

Sex Hormones ◽

Skin Diseases ◽

Acne Vulgaris ◽

Epidemiologic Studies ◽

Hair Follicles ◽

Adult Onset ◽

Inflammatory Skin Diseases ◽

The Face ◽

Sebum Production

Summary Acne vulgaris is among the commonest inflammatory skin diseases affecting pilosebaceous units. It occurs mainly in puberty and affects adolescents at the age of 14-19 years both females and males, in relation to sebum production of hair follicles under the action of sex hormones. Clinically the disease is presented with comedones, papules, pustules, nodules and scars in some cases. Seborrheic areas face, chest and back are affected. Recent epidemiologic studies have shown significant number of female patients aged over 25 years with acne and the term Adult onset acne (AOA)was established.The latter is manifested clinically in the lower third of the face. Primary etiological cause of AOAisahormonal imbalance, mainly hyperandrogenemia. Acase ofa25-year-old woman with adult acne and elevated levels of testosterone and prolactine is presented in this paper.

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Surgical Correction of Congenital Double Lip - A Case Report

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3263 ◽

2020 ◽

Vol 11 (4) ◽

pp. 6004-6007

Author(s):

Janani Kandamani ◽

Sudarssan Subramaniam Gouthaman ◽

Divya Sanjeevi Ramakrishnan ◽

Santhosh Kumar M. P.

Keyword(s):

Case Report ◽

Confidence Level ◽

Growth And Development ◽

Surgical Correction ◽

Mucous Gland ◽

Rare Entity ◽

Upper Lip ◽

Lower Lip ◽

The Face ◽

Transverse Zones

Lip provides an attractive and pleasing appearance to the face. Lip anomaly is by the presence of excess fold or redundant or tissue on side of the lip which is referred as double lip. It can be either congenital or acquired and unilateral or bilateral. Such rare entity can affect either upper lip or lower lip or both as seen in syndrome which can be easily diagnosed clinically and rarely reports were published on congenital double lip. During growth and development, the upper lip possesses an outer cutaneous zone often referred as pars and an inner zone which is known as pars which are the two transverse zones. The non-inflammatory labial mucous gland of the pars and unreasonable abundant tissue results in double lip. Treatment should be carried out by an excision of the and sub tissue, without involvement of the underlying muscle This article is a report of a 10 years old boy with this deformity who presented with the complaint of huge lips causing unaesthetic appearance of face and was surgically managed improving the appearance of the face aesthetically acceptable which in turn improves the confidence level of an individual.

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An Unusual Occurrence of Epidermoid Cyst in the Inner Mucosa of the Upper Lip: A Case Report

THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY ◽

10.5933/jkapd.2020.47.4.463 ◽

2020 ◽

Vol 47 (4) ◽

pp. 463-468

Author(s):

Jihye Lee ◽

Namki Choi ◽

Seonmi Kim

Keyword(s):

Case Report ◽

Oral Cavity ◽

Epidermoid Cyst ◽

Benign Lesions ◽

Upper Lip ◽

Palpable Mass ◽

Floor Of The Mouth ◽

Intraoral Approach ◽

Unusual Occurrence ◽

Slow Growing

Epidermoid cysts are rare benign lesions in the oral cavity that may be either congenital or acquired. The cysts are usually slow-growing and asymptomatic until becoming secondarily infected or large enough to interfere with mastication and speech. Consequently, diagnosis is often delayed. The condition is also uncommon in newborns and infants. Most of the lesions occur in the floor of the mouth and rarely in the upper lip. This report describes the case of a 29-month-old girl with a palpable mass in the inner mucosa of the upper lip. The lesion was surgically enucleated using an intraoral approach and histopathologically diagnosed as epidermoid cyst.

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