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Congenital lateral upper lip sinus: a rare case.

Ankur Bhatnagar¹, Osman Musa, J P Gildiyal

¹Department of Plastic Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UP India.

The Indian Journal of Surgery

|August 2, 2013

Summary

Congenital lateral sinuses of the upper lip are rare malformations. Surgical excision is the primary treatment, and accurate diagnosis relies on thorough patient history and clinical examination.

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Area of Science:

Plastic Surgery
Oral and Maxillofacial Surgery
Pediatric Surgery

Background:

Congenital lateral sinuses of the upper lip are uncommon congenital malformations.
Their etiology remains unclear, and they present as blind tracts within the orbicularis oris muscle.
These sinuses lack intra-oral communication.

Purpose of the Study:

To present a case of congenital lateral sinus of the upper lip initially misdiagnosed as a posttraumatic salivary fistula.
To discuss the surgical management of this condition.
To emphasize the importance of detailed history taking and clinical examination for accurate diagnosis.

Main Methods:

Case report presentation.
Review of surgical management options.

Keywords:

Cleft lip Congenital Lateral Upper lip sinus

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Discussion of potential etiologies.

Emphasis on diagnostic clinical skills.

Main Results:

The patient was successfully treated with surgical excision.
The importance of differentiating congenital lateral sinuses from other conditions like salivary fistulas was highlighted.
The study underscores the diagnostic value of clinical assessment over potentially unnecessary radiological investigations.

Conclusions:

Congenital lateral sinuses of the upper lip require accurate diagnosis for effective management.
Surgical excision is the definitive treatment.
Meticulous clinical evaluation is crucial to avoid misdiagnosis and unnecessary investigations.