Surgical Correction of Congenital Double Lip - A Case Report

Abstract

Lip provides an attractive and pleasing appearance to the face. Lip anomaly is characterised by the presence of a excess fold or redundant hypertrophic or hyperplastic tissue on mucosal side of the lip , which is referred as double lip. It can be either congenital or acquired and unilateral or bilateral. Such rare entity can affect either upper lip or lower lip or both as seen in Aschers syndrome which can be easily diagnosed clinically and rarely reports were published on congenital double lip. During growth and development, the upper lip possesses an outer cutaneous zone often referred as pars glabra and an inner mucosal zone which is known as pars villosa which are the two transverse zones. The non-inflammatory labial mucous gland hyperplasia of the pars villosa and unreasonable abundant areolar tissue results in double lip. Treatment should be carried out by an intraoral excision of the mucosa and sub mucosal tissue, without involvement of the underlying muscle. This article is a report of a 10 years old boy with this deformity who presented with the complaint of huge lips causing unaesthetic appearance of face and was surgically managed improving the appearance of the face aesthetically acceptable which in turn improves the confidence level of an individual.