Double Lip

摘要

Double lip is an oral anomaly which may be either congenital or acquired. It is sparsely reported in the literature. It occurs generally in the upper lip. In these patients a double vermilion border is apparent with a transverse furrow between the two borders when patient smiles. Treatment consists of W-plasty or elliptical excision of hypertrophic mucosa and wound closure by primary sutures. INTRODUCTION Double lip is rarely reported lip anomaly. It is most often congenital. But it could be acquired as a result of trauma. Typical appearance of lip was seen when the lip is tensed during smiling. It consists of a fold of excess or redundant tissue on the mucosal side of the lip. Case 1 A 21-year-old man was admitted to the hospital with the complaint of nasal deformity. During the course of routinely ENT examination it was noted that he had double lip deformity at his upper lip (Fig 1). When the patient smiled, a small fold of tissue could be seen extending below the vermilion of the upper lip. Neither goitre nor blepharochalasis was detected by physical examination. He had no history of trauma or operation to his upper lip. Either he had no family history. A clinical diagnosis of congenital upper double lip was made. The patient was not aware of this anomaly. Since it was not bothersome to him, no treatment was instituted.