Surgical Management of a Rare Case of Congenital DoubleUpper Lip

Abstract

Congenital double lip is a rare developmental anomaly which usually involves the upper lip. It may occur in isolation or as a part of Ascher's syndrome. The occurrence of double lip may result in facial deformity especially when patient attempts to talk, smile, or even try to show the teeth. It affects esthetics and also interferes with speech and mastication. Although surgery may be undertaken to facilitate speech and mastication, majority of cases are operated for cosmetic reasons. A case of congenital double upper lip which was surgically treated for cosmetic reason is reported.

Syndrome d’Ascher : cas clinique et revue de la littérature

“…L'exérèse ne concerne que les tissus muqueux superficiels en respectant le plan musculaire. Elle peut être réalisée en quartier d'orange ou grâce à une plastie en W [2,14,15]. Certains auteurs préconisent de réaliser une plastie en Z du frein labial supérieur lorsqu'une constriction médiane est pré-sente [9].…”

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“…In relation to the hypothesis of Ascher syndrome which is represented by the triad double lip, blepharochalasis and non-toxic thyroid alterations, it was ruled out in the mentioned case once, through the visual method, no alterations were observed in the eyelids referring to blepharocalasis, as well as no absence of hormonal changes [5][6][7]. Surgical treatment should be indicated in cases of aesthetic or functional deficit, as in the case in which the patient reported aesthetic complaints that "significantly disturbed her during the smile".…”

“…Its etiology may be associated with congenital or acquired factors [4]. Congenital ones are related to lip developmental disorders, or to patients with Ascher Syndrome, which is characterized by the triad: Double lip, blepharochalasis, and non-toxic enlargement of the thyroid gland; whereas acquired factors involve continuous and persistent lip traumas as in poorly adapted prostheses or lip suction acts [5][6][7].…”