Abstract
Double lip is a rare abnormality. It affects the lips, more often the upper lips and could be acquired or congenital. It may be associated with Ascher’s syndrome or occur in isolation. In this deformity, there is an accessory fold of redundant mucous membrane inside the vermillion border. This cupid’s bow-shaped accessory tissue is usually conspicuous during smiling but maybe occasionally visible even at rest. For the patient, this atypical facial deformity most importantly creates an aesthetic problem.Nonetheless, it may also interfere with their speech or function. Surgical excision is the treatment of choice and gives appropriate esthetic and functional results. In this article, we have presented two case reports of congenital maxillary double lip. The etiology, clinical presentation, histopathology and treatment of this infrequent anomaly have been discussed.How to cite this article: Kalra N, Tyagi R, Khatri A, Poswal A, Panwar G, Garg K. Double Lip-An Atypical Facial Anomaly: Two Case Reports. Int J Clin Pediatr Dent. 2018;11(5):451-455.
Highlights
INTRODUCTION“Macrocheilia” or hamartoma[1] commonly known as double lip, is an unusual abnormality which may be congenital or acquired
It may interfere with their speech or function
We have presented two case reports of congenital maxillary double lip
Summary
“Macrocheilia” or hamartoma[1] commonly known as double lip, is an unusual abnormality which may be congenital or acquired. Two Case Reports the patient got extremely conscious about it at the age of 12 to 13 years None of his family members presented with any such abnormality, and there was no history of any oral habits, trauma or surgery on the lip. The cupid’s bow-shaped redundant tissue was distinctively observable even when the lips were at rest (Fig. 6) and became even more prominent when the patient smiled (Fig. 7) It was an isolated lesion with no blepharochalasis, thyroid enlargement or any other associated congenital oral abnormality. After excision, suturing was done to close the surgical defect by 3-0 Vicryl sutures (Fig. 9), and a light pressure pack over the upper lip was given for 24 hours In this case, no postoperative complications were seen, and the patient was very happy with his esthetics (Fig. 10). He was evaluated after 1 month and kept on further follow-up
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