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[Glandular cheilitis. 2 case reports].

P A Reichart1, Ch Scheifele, H P Philipsen

  • 1Abteilung für Oralchirurgie und zahnärztliche Röntgenologie, Zentrum für Zahnmedizin, Universitätsklinikum Charité, Augustenburger Platz 1, 13353 Berlin. peter-a.reichart@charite.de

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|September 24, 2002
PubMed
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Glandular cheilitis (GC) affects the lips' accessory salivary glands, presenting with enlarged ducts and mucopurulent saliva. Early diagnosis and hygiene are key, with surgery for advanced cases.

Area of Science:

  • Oral Medicine
  • Dermatology
  • Pathology

Background:

  • Glandular cheilitis (GC) is a rare lip disorder affecting accessory salivary glands, primarily on the lower lip.
  • Three clinical variants exist: simplex, suppurativa, and apostematosa, with the simplex form being most common.
  • Characterized by enlarged ducts, gland induration, and mucopurulent saliva production.

Observation:

  • Presents two cases of cheilitis glandularis simplex in elderly patients (75-year-old male, 83-year-old female).
  • One patient developed a retention cyst on the upper lip, potentially linked to GC.
  • Histological findings include ectasia of glandular ducts and chronic sialadenitis.

Findings:

  • Histopathology reveals ectatic glandular ducts and chronic sialadenitis.

Related Experiment Videos

  • Treatment involves antibiotics, topical corticosteroids, and mandatory oral hygiene.
  • Surgical intervention is necessary for advanced stages.

    • Implications:

    • GC is considered a potential precancerous lesion, though definitive proof is lacking.
    • Differential diagnosis includes cheilitis granulomatosa, exfoliativa, and self-induced conditions.
    • Emphasizes the importance of recognizing GC for appropriate management and monitoring.