The potential peril from caliber-persistent arteries of the lips

Howell, Jessica B.; Freeman, Robert G.

doi:10.1067/mjd.2002.117859

Cited by 16 publications

(20 citation statements)

References 10 publications

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“…but has not been confirmed by others . Older adults, because their labial arteries are very flexuous, may sporadically exhibit a tumor‐like lesion on the vermilion of the upper or lower lip, which raises concern about cancer . Further, CPLA often mimics mucocele .…”

Section: Discussionmentioning

confidence: 99%

A new approach to the management of caliber‐persistent artery: A case report and analysis of previously reported cases

Agha‐Hosseini

Sheykhbahaei

2015

Int J Dermatology

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A caliber-persistent labial artery (CPLA) is an incipient arterial branch that penetrates near the submucosal tissue of the lip without dividing or reducing in diameter and often appears as a palpable lesion on the lip. It occurs at an incidence of approximately 3%. This study investigated the causes of swelling of the lips, focusing on CPLA, and reviewed the literature for past cases in order to inform the treatment of a 32-year-old man presenting with an asymptomatic, solitary, elevated lesion on the vermilion of the upper lip of seven months duration. Biopsy resulted in abundant bleeding. Histopathology showed fragments of connective tissue composed of spindle-shaped cells, fibroblasts, collagen fibers and sections of small blood vessels with lymphocytic infiltration of chronic inflammatory cells around the small vessels. A thick-walled section reminiscent of a major artery was apparent. In view of the size of the lesion and concern over the functional and esthetic impairment that might result from surgery, the patient was treated with triamcinolone (40 mg/ml) injected at low pressure into the lesion, which caused the formation of deposits of colloidal particles within the lesion. The procedure was repeated twice at 2-week intervals. Subsequently, the lesion was found to have completely regressed. The favorable therapeutic results achieved, and the findings of the present review, support the intralesional injection of triamcinolone as a first-line conservative treatment in CPLA rather than a surgical approach that can result in inordinate hemorrhaging.

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Section: Discussionmentioning

confidence: 99%

A new approach to the management of caliber‐persistent artery: A case report and analysis of previously reported cases

Agha‐Hosseini

Sheykhbahaei

2015

Int J Dermatology

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“…According to the anatomy of the region, we suggest that the dilated vessel in this case was the buccal artery, which is a branch of the maxillary artery. Reported cases of CPA in the lower and upper lip have shown that the dilated arteries were the inferior labial artery and superior labial artery respectively (Flaitz, 2000;Howell and Freeman, 2002;Kocyigit et al, 2006). Although CPA has not been reported to date in the buccal vestibule, the incidence in this area is possibly greater.…”

Section: Discussionmentioning

confidence: 92%

“…CPA can be distinguished clinically from oral squamous cell carcinoma by the lack of fixation and induration (Manganaro, 1998). To explain the cause of ulceration, Howell and Freeman suggested that the pressure of a pulsating superficial submucosal artery may cause ischemia of the submucosal tissue that may result in ulcer formation (Howell and Freeman, 2002). We suggest that the raised nature of the swelling of CPA in the mouth facilitates chronic trauma that may lead to ulceration.…”

Section: Discussionmentioning

confidence: 96%

“…In the oral cavity, this abnormal artery was first described in 1973 by Howell and Freeman but they called it ''prominent inferior labial artery'' (Howell and Freeman, 1973). This was followed by a series of reports that used the term ''CPA'' (Miko et al, 1980(Miko et al, , 1983Marshall and Leppard, 1985;Jaspers, 1992;Lovas and Goodday, 1993;Lovas et al, 1998;Manganaro, 1998;Flaitz, 2000;Kua et al, 2000;Howell and Freeman, 2002;Lewis, 2003;Vazquez et al, 2005;Kocyigit et al, 2006).…”

Section: Introductionmentioning

confidence: 94%

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Intra-oral calibre persistent artery

AbdulMajeed

Farah

2010

Journal of Cranio-Maxillofacial Surgery

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“…As the patient becomes older, the lesion becomes more pulsatile, probably as a result of atherosclerotic changes 12 . CPLA may also present as a chronic lip ulcer as a result of ischemia 13–15 . Other factors possibly linked to ulceration are tobacco smoking, local trauma, chronic actinic damage, etc 7,13,16 …”

Section: Discussionmentioning

confidence: 99%

High‐resolution color Doppler ultrasound of a caliber‐persistent artery of the lip, a simulator variant of dermatologic disease: case report and sonographic findings

et al. 2009

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High-resolution color Doppler ultrasound is a reliable noninvasive technique for CPLA diagnosis. It allows direct visualization of this vascular variant in real time without the use of an intravenous contrast agent. It may avoid surgical complications and help in the differential diagnosis. Newer high-resolution equipment allows a clear definition of the cutaneous and muscular layers, as well as the vascularity of the lips.

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The potential peril from caliber-persistent arteries of the lips

Cited by 16 publications

References 10 publications

A new approach to the management of caliber‐persistent artery: A case report and analysis of previously reported cases

A new approach to the management of caliber‐persistent artery: A case report and analysis of previously reported cases

Intra-oral calibre persistent artery

High‐resolution color Doppler ultrasound of a caliber‐persistent artery of the lip, a simulator variant of dermatologic disease: case report and sonographic findings

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