Treatment of developmental defect of upper lip with carbon dioxide laser radiation (CO2): first surgical time

Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology
Walter Niccoli-FilhoAline Cantarelli Morosolli

Abstract

With the exception of the cleft lip, developmental defects (DD) of the lip are rare. The upper lip originates from the ectomesenchyme and is formed by the merging of the nasal medial and lateral processes with the maxillary process. Disturbances during this formation period can cause DD with functional and/or esthetic repercussions. We present a case of DD of the upper lip in a patient with a history of progressive growth of the left lateral portion of the upper lip that occurred from the time of birth until the age of 22 years. Clinical examination revealed hypertrophy of the area from the left philtral columns to the left commissure of the lip, extending the portion of the surface mucosa creating a flaccid and asymptomatic tissue mass. All other buccal structures appeared to be within normal limits and without any evidence of defects or deformities. In the surgical planning we decided to carry out corrective surgery in two phases. The first phase accomplished a conservative excision of the total abnormal labial tissue mass with a CO2 laser radiation (5 W in continuous mode, bunch diameter Phi = 0.6 mm with a power density of 768 W/cm2 and fluency of 0.231 J/cm2) being careful to preserve the vermilion portion of the lip. Post...Continue Reading

References

Apr 1, 1997·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·B W NevilleT Brock
Feb 14, 1998·Dermatologic Clinics·C C Huang, C J Arpey
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Mar 21, 2000·Plastic and Reconstructive Surgery·J J PribazK H Breuing
Jan 21, 2003·Archives of Facial Plastic Surgery·Craig W SendersMark A Cukierski

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Citations

Oct 13, 2011·ISRN Dentistry·Tarcisio José de Arruda Paes-JuniorPaula Carolina de Paiva Komori
May 25, 2006·Lasers in Medical Science·Aline Rose Cantarelli MorosolliWalter Niccoli-Filho

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