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Related Experiment Videos

Upper lip fistulas: three new cases.

M A Sancho1, A Albert, V Cusi

  • 1Unitat Integrada Hopsital Clínic-Hospital Sant Joan de Déu, Universitat de Barcelona, Spain. julia_sancho@hsjdbcn.org

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|June 20, 2002
PubMed
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Congenital upper lip fistulas, rare developmental anomalies, present with fluid discharge. Surgical excision is the recommended treatment, preserving anatomy and indicating aberrant development.

Area of Science:

  • Craniofacial anomalies
  • Congenital malformations
  • Oral and maxillofacial surgery

Background:

  • Congenital upper lip fistulas are rare developmental abnormalities.
  • Understanding their etiology and presentation is crucial for diagnosis and management.

Observation:

  • Three new cases of congenital upper lip fistula are presented.
  • Two fistulas were midline in the philtrum, one associated with a double maxillary frenulum, medial lip cleft, and primitive palate cleft.
  • The third fistula was on the left vermilion, presenting with clear fluid discharge and no pain.

Findings:

  • Patients experienced clear fluid discharge from the fistulous orifice.
  • Two cases reported recurrent swelling in the philtrum area.
  • Surgical excision preserved anatomical structures.

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Implications:

  • Simple surgical excision is the treatment of choice for congenital upper lip fistulas.
  • The findings suggest these anomalies result from completed but aberrant development rather than focal dysgenesis.
  • Preserving anatomy during surgery is key for optimal outcomes.