The patient is a young girl who was born with a cleft lip and bilateral symmetrical lower lip pits as a result of Van der Woude syndrome, which is a genetic disorder. Her cleft lip had been repaired as an infant at an outside hospital. She had recently developed chronic inflammation of the lip pits because of salivary pooling as these lip pits are usually connected to mucous glands within the lips through a canal. Surgical correction is the only treatment option for this and it is essential to completely remove the entire lip pit canal as mucoid cysts can develop if the mucous glands are not removed.
The patient presented at Balaji Dental and Craniofacial Hospital, Teynampet, Chennai with her parents for surgical management of her problem. Dr. Balaji examined the patient thoroughly and explained to her parents that surgical repair was the only solution for her problem. The patient’s parents were in complete agreement and she was scheduled for surgery.
Under satisfactory general anesthesia, the patient’s lip pits were removed through dissection along with their associated mucous glands. The wound was then closed in layers with sutures and the patient recovered uneventfully from general anesthesia. The patient and her parents presented to Dr. Balaji a month after surgery and expressed their happiness at the functional as well as the cosmetic results of the surgery.
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