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      Congenital Median Upper Lip Fistula

      case-report
      ,
      APSP Journal of Case Reports
      EL-MED-Pub
      Fistula, Congenital, Median, Lip

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          Abstract

          Congenital median upper lip fistula (MULF) is an extremely rare condition resulting from abnormal fusion of embryologic structures. We present a new case of congenital medial upper lip fistula located in the midline of the philtrum of a 6 year old girl.

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          Most cited references8

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          A case of congenital midline fistula of the upper lip.

          Congenital fistulas of the lip are commonly found in the lower lip and accompany cleft lip. They are seen as a symptom of Van der Woude syndrome, which is predominantly hereditary. In contrast, congenital fistulas of the upper lip are rare. A number of hypotheses have been proposed to explain the pathogenesis of fistulas of the upper lip, including fusion failure of facial prominences and absence of mesoblasts, suggesting a relationship between this condition and the development of cleft lip. The pathogenesis of this disorder has been attracting attention. We report the case of a 5-year-old girl with congenital fistula of the upper lip.
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            Congenital sinus of the upper lip. A case report.

            A case report of a congenital midline sinus in the upper lip of a 13-year-old girl is presented. Theories proposed regarding the aetiology of this rare anomaly are discussed.
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              Upper lip fistulas: three new cases.

              We present three new cases of congenital upper lip fistula. Two of them were located in the philtrum midline, one of which was associated to a double maxillary frenulum, a medial lip cleft, and a medial cleft of the primitive palate. The other was located in the left side of the vermilion. All three patients had clear fluid discharge through the fistulous orifice without pain. Two of them had a history of recurrent swelling of the philtrum area. A simple surgical excision is the treatment of choice in these cases, in which the anatomy is preserved; this fact is more consistent with a completed but aberrant development than with focal dysgenesis.
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                Author and article information

                Contributors
                Assistant Professor of Surgery, College of Medicine, Qassim University, KSA
                Consultant Plastic Surgeon, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
                Journal
                APSP J Case Rep
                APSP J Case Rep
                AJCR
                APSP Journal of Case Reports
                EL-MED-Pub
                2218-8185
                1 June 2012
                May-Aug 2012
                : 3
                : 2
                : 11
                Affiliations
                Assistant Professor of Surgery, College of Medicine, Qassim University, KSA
                Consultant Plastic Surgeon, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
                Author notes
                Address for Correspondence: Dr Sajad Ahmad Salati, Assistant Professor of Surgery, College of Medicine, Qassim University, KSA. docsajad@ 123456yahoo.co.in .
                Article
                ajcr-3-10
                3418042
                22953305
                6e950480-afdc-4f80-b19c-ac6fa4118b5e
                Copyright © 2012 Salati et al

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 January 2012
                : 12 February 2012
                Categories
                Case Report

                Pediatrics
                median, congenital,fistula, lip
                Pediatrics
                median, congenital, fistula, lip

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