DOĞUMSAL ÇİFT DUDAK DEFORMİTESİ: 8 OLGUNUN SUNUMU

Yıl 2004, Cilt: 5 Sayı: 3, 43 - 46, 01.12.2004

Eray Copcu Nazan Sivrioglu Yücel Öztan

Öz

Doğumsal çift dudak nadir rapor edilen, ancak sık görülen bir anomalidir. Bu klinik durum sıklıkla izole birdeformite olarak görülse de, bir sendromun parçası da olabilir. Sıklıkla erkeklerde görülen ve patogeneziembriyolojik gelişimdeki defektlerle açıklanmaya çalışılan bu deformite ile ilgili olarak literatürde yirmiden azsayıda yayınlanmış çalışma vardır. Bizim çalışmamızda, kadın erkek sayısı eşit olup olguların hepsi estetikyakınmalarından dolayı doktora başvurmuşlardır. Olguların hepsine lokal anestezi altında eliptik eksizyonyapılmıştır. Alınan cerrahi örneklerin patolojik incelemeleri normal dudak mukozası olarak rapor edilmiştir.Olguların hiçbirinde post-operatif erken yada geç komplikasyon görülmeyip istenilen kozmetik sonuç eldeedilmiştir. Bir olguda parsiyel çift dudak deformitesi saptanmış olup, bilgilerimize göre literatürde parsiyel çiftdudak deformitesine ait bir yayın yoktur. Sonuç olarak bu çalışmada, doğumsal çift dudağa sahip toplam 8 olgusunulmuş ve bu deformitenin etyolojisi, görülme sıklığı ve tedavi yöntemleri literatürdeki bulgular eşliğindetartışılmıştır

Anahtar Kelimeler

Çift dudak, doğumsal, deformite, oral, eliptik eksizyon, parsiyel

Congenital Double Lip Deformity: Presentation of Eight Cases

Öz

Although congenital double lip deformity is not an uncommon condition, this deformity was presented rarely in the literature. Congenital double lip deformity may be present either as an isolated anomaly or a component of a syndrome. However less than twenty reports were presented in the literature, males were affected predominantly and pathogenesis of this deformity was explained by the embryological defects. In our study male to female ratio was equal and all patients were operated since the aesthetical reason. Elliptical excision was performed under the local anesthesia in all patients. All specimens were evaluated pathological and reported as “normal lip mucosa”. There were no early or late post-operative complication and aesthetical results were achieved in all patients. One case of our patients had partial congenital lip deformity, best of our knowledge; there was no data about the partial congenital lip deformity. Finally, in this study we present eight cases with congenital double lip and discuss the etiology, incidence and treatment modalities according to the data presented in the literature.

Anahtar Kelimeler

Double lip, congenital, oral, elliptical excision, partial

Kaynakça

• 1. Benmeir P, Weinberg A, Neuman A . Congenital double lip: report of five cases and a review of the literature.Ann Plast Surg 1992; 28(2):180-2.
• 2. Mahler D, Baruchin A. Double lower lip. Ann Plast Surg 1982; 8(3):248-9.
• 3. Reddy KA, Roa AK. Congenital double lip: a review of seven cases. Plast Reconstr Surg 1989; 84(3):420-3.
• 4. Calnan J. Congenital double lip: record of a case with a note on the embryology. Br J Plast Surg 1952; 5(3):197- 202.
• 5. Kara C, Kara IG. Double lip. The Internet Journal of Otorhinolaryngology. 2000; 1: 1
• 6. Greenfield MF, Icochea R, Hoffman C, Gropper C. Double lip: an unusual presentation. Cutis 2000; 66(4):253-6.
• 7. Banderas JA, Toshikasu O, Gonzalez M. Oral mucosa lesions in Mazahua Indian adolescents. Acta Odontol Latinoam 1999; 12(1):11-20.
• 8. Sawyer DR, Taiwo EO, Mosadomi A. Oral anomalies in Nigerian children. Community Dent Oral Epidemiol 1984; 12(4):269-73.
• 9. Byrne PJ, Hilger PA. Lip augmentation. Facial Plast Surg 2004; 20(1):31-8.
• 10. Wall SJ, Adamson PA. Augmentation, enhancement, and implantation procedures for the lips. Otolaryngol Clin NorthAm 2002; 35(1):87-102
• 11. Narang R. Double lip due to injury. A case report. J Indian DentAssoc 1970; 42(4):112-3.
• 12. Gomez-Duaso AJ, Seoane J, Vazquez-Garcia J, Arjona C. Ascher syndrome: report of two cases. J Oral Maxillofac Surg 1997; 55(1):88-90.
• 13. Kara IG, Kara CO. Ascher syndrome. Otolaryngol Head Neck Surg 2001; 124(2):236-7.
• 14. Bijlsma JB, de France HF, Bleeker-Wagemakers LM, Dijkstra PF. Double translocation t(7;12),t(2;6) heterozygosity in one family. A contribution to the trisomy 12p syndrome. Hum Genet 1978; 40(2):135- 47.
• 15. Schweitzer DN, Lachman RS, Pressman BD, Graham JM Jr. van den Ende-Gupta syndrome of blepharophimosis, arachnodactyly, and congenital contractures: clinical delineation and recurrence in brothers.Am J Med Genet 2003; 118A(3):267-73.
• 16. Hengstschlager M, Bettelheim D, Dorfler-Grassauer D . Prenatal diagnosis of a supernumerary aberrant chromosome 9. Arch Gynecol Obstet 2003; 268(3):248-50.
• 17. Guerrero-Santos J, Altamirano JT. The use of W-plasty for the correction of double lip deformity. Plast Reconstr Surg 1967; 39(5):478-81.
• 18. Peterson A. Electrosurgical correction of maxillary double lip. Dent Dig 1972; 78(4):182-8