phenylephrine-hydrochloride and Lip-Diseases

Topics: Biopsy, Needle; Diagnosis, Differential; Fatal Outcome; Female; Humans; Lip; Lip Diseases; Lip Neoplasms; Lymphoma, Large B-Cell, Diffuse; Middle Aged; Neoplasms, Multiple Primary; Nose; Nose Diseases; Nose Neoplasms

Topics: Cysts; Humans; Lip; Lip Diseases; Nose; Nose Diseases; Radiography

Rhinocerebral mucormycosis (RCM) is a rare, fulminating opportunistic fungal infection caused by a fungus of order Mucorales. These fungi are ubiquitus, subsisting on decaying vegetation and diverse organic material. Although fungi and spores of Mucorales show minimal intrinsic pathogenicity towards normal person, they can initiate aggressive and fulminating infection in immunocompromised host. Since RCM occurs infrequently, it may pose a diagnostic and therapeutic dilemma for those who are not familiar with its clinical presentation.. We present a patient with classical presentation of RCM involving paranasal sinuses, orbit, and cranial base who was treated by combination of aggressive surgical and medical therapy.. The purpose of this paper is to draw attention to the clinical presentation and pathogenesis of RCM and to emphasize need for high index of suspicion in diagnosis and treatment.

Topics: Amphotericin B; Antifungal Agents; Combined Modality Therapy; Debridement; Diabetes Mellitus, Type 2; Diabetic Ketoacidosis; Fatal Outcome; Female; Humans; Infusions, Intravenous; Lip Diseases; Maxilla; Middle Aged; Mouth Diseases; Mucormycosis; Nose; Nose Diseases; Opportunistic Infections; Orbital Diseases; Paranasal Sinus Diseases; Tomography, X-Ray Computed

Postoperative evaluation of results of reconstructive procedures of the lips mainly consists of describing the technique, complications and subjectively interpreted patient photographs. The authors present a photo-assisted pre- to postoperative evaluation of reconstructive procedures of the lips based on anthropometric measurements and functional outcome. Forty-eight patients underwent partial or full thickness excision of tumours of the lips and subsequent reconstruction. An analysis of standardized pre- and postoperative photographs included measurements of intercanthal width, mouth width, philtrum width, lateral upper lip height, upper and lower lip height, cutaneous upper and lower lip height, upper and lower vermilion arc and upper and lower vermilion height. Assessment of functional outcome consisted of the evaluation of oral competence, changes of oral opening and sensation. The effects on the described parameters were analysed, when partial or full thickness reconstruction had to be performed. Intercanthal mouth width index, vermilion arc index, vermilion and cutaneous total lower lip height index showed statistically significant effects postoperatively which indicates a postoperative tightened lower lip, when full-thickness excision was performed. In all patients the indices were proven reproducible and reliable. The standardized measurements described are accurate and objective for evaluating postoperative results.

Topics: Aged; Anatomic Landmarks; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Cephalometry; Dissection; Female; Follow-Up Studies; Humans; Hypesthesia; Keratoacanthoma; Lip; Lip Diseases; Lip Neoplasms; Male; Mouth; Mouth Mucosa; Nose; Photography; Plastic Surgery Procedures; Postoperative Complications; Sensation; Skin; Surgical Flaps; Treatment Outcome

Trigeminal trophic syndrome is a rare entity characterized by the presence of ala nasi ulceration, trigeminal anesthesia, and paresthesia. It arises secondary to trigeminal nerve injury. Patients with this diagnosis often undergo repeated skin biopsies to rule out suspected nonmelanoma skin cancer due to the clinical appearance. Recognition of this entity is paramount to avoid unnecessary surgical intervention and to attempt therapy.

Topics: Aged, 80 and over; Female; Humans; Lip; Lip Diseases; Nose; Nose Diseases; Paresthesia; Skin; Skin Ulcer; Syndrome; Trigeminal Nerve Diseases; Trigeminal Nerve Injuries

An anthropometric measurement serves as both an objective assessment and a description of shape and size. Gypsum casts were used for the measurement, along with a statistical evaluation of results, to compare the appearance of patients with a complete unilateral or bilateral cleft lip and palate prior to corrective surgery of their secondary deformity and following this intervention. The evaluated approach was our own modification of rhinoplasty and lip correction, using the remodeling and extension of soft tissues envelope by a skin flap. That is formed from a lip scar after primary reconstruction. Both data of the studied group (n = 49), pre- and postoperative, were compared to a control group of healthy individuals (k = 19), thereby allowing the original severity of the deformity and the morphologic change after surgery to be objectively assessed. Upon correlation to healthy volunteers, we proved that the effect of surgery shifted the monitored parameters into a range found in the normal population. An anthropometric measurement on gypsum casts appeared to be simple, easy to perform, precise, easy to repeat, inexpensive, and yet of a three-dimensional nature with no burden for the patient. It is suitable for verifying the effects of new therapeutic procedures.

Topics: Adolescent; Adult; Anthropometry; Calcium Sulfate; Case-Control Studies; Cephalometry; Cicatrix; Cleft Lip; Cleft Palate; Female; Follow-Up Studies; Humans; Lip; Lip Diseases; Male; Models, Anatomic; Nose; Nose Deformities, Acquired; Plastic Surgery Procedures; Rhinoplasty; Surgical Flaps; Treatment Outcome

In this study the nasal deformities in patients with cleft lip, alveolus and palate (CLAP) were analysed and the relevant role of the perinasal-perioral muscular balance, and the inborn dislocation of the alar cartilages is presented.. 50 CLAP patients were analysed in whom 29 primary cheiloplasties, 12 lip revisions and 9 rhinoplasties were performed. The lip repair was done by a modification of Millard's technique, the nose by either a closed or open-sky rhinoplasty. The severity of the cleft appearance was evaluated pre- and postoperatively, according to a pre-agreed visual rating scale. There were 4 degrees of severity of the deformity preoperatively (mild, moderate, severe and very severe), and postoperatively 5 categories of outcome (excellent, very good, good, satisfactory and poor) depending on the scores obtained by summing up the points corresponding to different types of deformity. This scale is closely related to the American Cleft Palate classification of clefts.. 17 excellent, 4 very good, 2 good, 5 satisfactory and 1 poor result were obtained in the group of primary cheiloplasty. Eight excellent, 4 very good results were obtained by the lip revisions. Seven excellent and 2 satisfactory results were obtained following rhinoplasty.. During the primary lip repair, it is important to correct the abnormal position of ala nasi, the nasal floor and the base of the columella. When correct insertion of m. transversus nasi to the nasal spine is achieved and a good repair of m. orbicularis oris, symmetry of the alae and normal growth of lip and columella was obtained even in most severe bilateral cases. In cases of diastasis of the orbicularis and transversus nasi muscles, in combination with other soft tissue deformities or scars, a secondary musculo-periosteal revision is recommended. The defect of the soft tissue triangle of the nose is best corrected via an open rhinoplasty.

Topics: Adolescent; Adult; Alveolar Process; Child; Child, Preschool; Cleft Lip; Cleft Palate; Facial Muscles; Humans; Infant; Infant, Newborn; Lip; Lip Diseases; Nose; Nose Deformities, Acquired; Reoperation; Rhinoplasty; Treatment Outcome

The Le Fort I osteotomy results in predictable long-term effects. The soft tissues, however, can be difficult to control because of considerable variation in their adaptation. Several adverse reactions can take place, including thinning and lateral retraction of the lip, accentuation of the nasolabial groove, reduced vermilion exposure, and increase of the nasolabial angle. In this study on 51 selected patients, the V-shaped wound in the vestibule of the maxilla after the Le Fort I osteotomy was closed with a "Y," with the bast of the "Y" in the midline of the upper lip (V-Y closure). Forward multiple regression analysis was calculated for each bony landmark. Regression equations were formulated if P < .05. The equation with the bony point with the highest r2 value was considered the most important independent variable. The selected independent variables were used to form 4 subgroups with identical vectors of movements: impaction, advancement, impaction and advancement, and dorsal impaction. In these 4 subgroups, forward multiple regression analysis was used to select equations with the highest r2 value (P < .05). The selected equations demonstrated that a V-Y plasty as single soft tissue procedure suffices only in advancement cases, and only if the nose does not need additional upward rotation. In the other 3 subgroups, additional procedures are necessary, such as alar cinch suture, reduction of the anterior nasal spine, or grinding of the paranasal area in order to prevent the above-mentioned adverse soft tissue changes.

Topics: Adolescent; Adult; Bone Plates; Bone Wires; Cephalometry; Esthetics, Dental; Female; Humans; Lip; Lip Diseases; Male; Maxilla; Maxillary Sinus; Movement; Nasal Bone; Nose; Nose Diseases; Osteotomy, Le Fort; Regression Analysis; Rotation; Sphenoid Bone; Surgical Flaps; Suture Techniques

Midline upper lip sinuses alone are rare entitities, with less than 25 cases reported previously. Midline upper lip sinuses with associated cleft lip are even more rare. A patient report of median cleft lip with associated upper lip sinuses in a 16-year-old boy is presented. Controversy exists as to whether these abnormalities are related. This report demonstrates the plausibility of a cause-and-effect relationship between midline clefts and sinuses.

Topics: Adolescent; Cleft Lip; Cutaneous Fistula; Fistula; Humans; Lip; Lip Diseases; Male; Nose; Nose Diseases

Topics: Child; Face; Female; Forehead; Humans; Lip Diseases; Noma; Nose; Nose Diseases; Skin Transplantation; Surgical Flaps

The Abbe-Estlander flap is a full-thickness lip-switch flap rotated from mid lower lip to fill defects of the upper lip. In 1872, Estlander emphasized the importance of this flap. Abbe, in 1898, was the first to switch a lower lip flap into the upper lip for a cleft deformity. The lip-switch flap is an arterialized flap, based on the constant inferior labial artery. This flap is widely used to repair the defects from cancer and traumatism or in repair of the cleft lip deformities.

Topics: Cleft Lip; History, 19th Century; Humans; Lip; Lip Diseases; Lip Neoplasms; Nose; Surgical Flaps

Topics: Adolescent; Child, Preschool; Female; Fistula; Humans; Infant; Lip Diseases; Male; Nose; Nose Diseases; Rhinoplasty

Topics: Adolescent; Adult; Animals; Bites and Stings; Carcinoma, Squamous Cell; Cheek; Child, Preschool; Dogs; Facial Injuries; Female; Fistula; Humans; Lip; Lip Diseases; Lip Neoplasms; Male; Methods; Middle Aged; Nose; Nose Diseases; Nose Neoplasms; Skin Transplantation; Transplantation, Autologous

Topics: Child; Craniofacial Dysostosis; Female; Frontal Bone; Humans; Hypertelorism; Lip Diseases; Mucocele; Nose; Radiography; Skin Abnormalities