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非综合征性先天性双侧唇裂的手术矫正及口腔健康相关生活质量(OHRQoL)评估:一例报告及文献综述

Surgical Correction and Oral Health-Related Quality of Life (OHRQoL) Evaluation of Non-syndromic Congenital Double Lip: A Case Report and Literature Review.

作者信息

Oriya Bhawana, Faraz Farrukh, Lamba Arundeep K, Tandon Shruti, Dhingra Sachin

机构信息

Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND.

出版信息

Cureus. 2024 Feb 2;16(2):e53446. doi: 10.7759/cureus.53446. eCollection 2024 Feb.

Abstract

Congenital double lip is a rare clinical finding that is more common in the upper lip, but the lower lip can also be involved in a few cases. It has no gender predilection, and its incidence rate is yet unknown. It can be classified into two types: congenital or acquired. Congenital type results from the persistence of the sulcus between the pars glabrosa and the pars villosa, while the acquired type occurs secondary to trauma and oral habits such as lip sucking and lip biting. It can be syndromic or non-syndromic based on the other systemic involvement. In the present case, a 24-year-old male patient presented to the outpatient department (OPD) with the chief complaint of an excessive tissue fold visible in relation to his upper lip while smiling and talking, which posed an aesthetic concern to the patient and decreased his self-esteem. The oral health-related quality of life (OHRQoL) was taken before and after the treatment to assess patient satisfaction and improvement in quality of life after surgery. The patient was diagnosed with a non-syndromic congenital double lip based on clinical history and oral examination. The surgical removal of excessive lip tissue was done, and the lesion healed completely with no recurrence up to a six-month follow-up. This case report illustrates the uncomplicated surgical treatment for congenital double lips and improves the patient's aesthetic.

摘要

先天性双唇是一种罕见的临床发现,在上唇更为常见,但少数情况下下唇也可受累。它没有性别倾向,发病率尚不清楚。它可分为两种类型:先天性或后天性。先天性类型是由于光滑部和绒毛部之间的沟持续存在,而后天性类型继发于创伤和诸如吮唇和咬唇等口腔习惯。根据是否伴有其他全身受累情况,可分为综合征型或非综合征型。在本病例中,一名24岁男性患者因主要诉求为微笑和说话时上唇可见过多组织褶皱,这给患者带来了美学方面的困扰并降低了他的自尊,前来门诊就诊。在治疗前后评估了口腔健康相关生活质量(OHRQoL),以评估患者满意度和术后生活质量的改善情况。根据临床病史和口腔检查,该患者被诊断为非综合征型先天性双唇。进行了手术切除过多的唇部组织,病变完全愈合,随访六个月无复发。本病例报告说明了先天性双唇的简单手术治疗方法,并改善了患者的美观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52e5/10908419/a1b1a923c213/cureus-0016-00000053446-i01.jpg

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