Arch Craniofac Surg.  2012 Apr;13(1):57-59. 10.7181/acfs.2012.13.1.57.

Congenital Upper Lip Sinus Found in Adolescent Patient: A Case Report

• Jung HJ
• Kang SJ
• Kim JW
• Sun H

• KMID: 2116858
• DOI: http://doi.org/10.7181/acfs.2012.13.1.57

Abstract

PURPOSE
Congenital sinus of the upper lip is extremely rare and only 3 cases have been reported domestically. We report a case of congenital sinus of midline upper lip, which was found in an adolescent patient.
METHODS
A 14-year-old girl presented with a small pit on midline of the upper lip, which was visible at birth. The patient had never been treated for the congenital sinus because it was asymptomatic. Surgical excision under local anesthesia was performed.
RESULTS
The sinus had a tract extending into 5 mm posteroinferior and had not penetrated the oral cavity. Histological examination showed a fistulous tract lined by keratinized squamous epithelium. After complete excision, there was no recurrence and we obtained a satisfactory cosmetic result.
CONCLUSION
Congenital sinus of the midline upper lip is extremely rare. This is a special case that is reported because it did not cause symptoms for the patient until she reached adolescence.

Keyword

Congenital sinus; Upper lip

MeSH Terms

Adolescent
Anesthesia, Local
Cosmetics
Epithelium
Humans
Keratins
Lip
Mouth
Parturition
Recurrence
Cosmetics
Keratins