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Treatment of developmental defect of upper lip with carbon dioxide laser radiation (CO2): First surgical time

dc.contributor.authorNiccoli-Filho, Walter [UNESP]
dc.contributor.authorMurilo-Santos, Lucio [UNESP]
dc.contributor.authorSchubert, Mark
dc.contributor.authorMorosolli, Aline Cantarelli [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionSeattle Cancer Care Alliance
dc.date.accessioned2014-05-27T11:21:20Z
dc.date.available2014-05-27T11:21:20Z
dc.date.issued2005-06-01
dc.description.abstractWith the exception of the cleft lip, developmental defects (DD) of the lip are rare. The upper lip originates from the ectomesenchyme and is formed by the merging of the nasal medial and lateral processes with the maxillary process. Disturbances during this formation period can cause DD with functional and/or esthetic repercussions. We present a case of DD of the upper lip in a patient with a history of progressive growth of the left lateral portion of the upper lip that occurred from the time of birth until the age of 22 years. Clinical examination revealed hypertrophy of the area from the left philtral columns to the left commissure of the lip, extending the portion of the surface mucosa creating a flaccid and asymptomatic tissue mass. All other buccal structures appeared to be within normal limits and without any evidence of defects or deformities. In the surgical planning we decided to carry out corrective surgery in two phases. The first phase accomplished a conservative excision of the total abnormal labial tissue mass with a CO2 laser radiation (5 W in continuous mode, bunch diameter φ = 0.6 mm with a power density of 768 W/cm2 and fluency of 0.231 J/cm2) being careful to preserve the vermilion portion of the lip. Postsurgical clinical evaluations were done every three days until the skin sutures were removed and then every seven days until two months post surgery. While the entire mass of excessive tissue could not be completely removed, the removal of the excessive mucosal tissue produced a very good outcome relative to lip function, with a good esthetic result without scarring, and good tissue mobility. The results showed that the CO2 laser is an extremely useful instrument that can provide excellent control of the surgical field and allow for healing that produces excellent functional and esthetic results. © 2005 Taylor & Francis.en
dc.description.affiliationSao Paulo State University UNESP School of Dentistry, Sao Jose Dos Campos, SP
dc.description.affiliationDepartment of Oral Medicine University of Washington and Oral Medicine Service Seattle Cancer Care Alliance, Seattle, WA
dc.description.affiliationSao Paulo State University UNESP, Av. Francisco Jose Longo 777, 12245-000 Sao Jose dos Campos
dc.description.affiliationUnespSao Paulo State University UNESP School of Dentistry, Sao Jose Dos Campos, SP
dc.description.affiliationUnespSao Paulo State University UNESP, Av. Francisco Jose Longo 777, 12245-000 Sao Jose dos Campos
dc.format.extent97-100
dc.identifierhttp://dx.doi.org/10.1080/14764170500205958
dc.identifier.citationJournal of Cosmetic and Laser Therapy, v. 7, n. 2, p. 97-100, 2005.
dc.identifier.doi10.1080/14764170500205958
dc.identifier.issn1476-4172
dc.identifier.issn1476-4180
dc.identifier.scopus2-s2.0-27244438289
dc.identifier.urihttp://hdl.handle.net/11449/68249
dc.language.isoeng
dc.relation.ispartofJournal of Cosmetic and Laser Therapy
dc.relation.ispartofjcr1.138
dc.relation.ispartofsjr0,638
dc.relation.ispartofsjr0,638
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectCarbon dioxide laser
dc.subjectDevelopmental defects
dc.subjectLip surgery
dc.subjectantibiotic agent
dc.subjectcephalosporin
dc.subjectdiclofenac
dc.subjectadult
dc.subjectanamnesis
dc.subjectbirth
dc.subjectcarbon dioxide laser
dc.subjectcase report
dc.subjectclinical examination
dc.subjectclinical feature
dc.subjectesthetics
dc.subjecthuman
dc.subjecthypertrophy
dc.subjectlaboratory test
dc.subjectlip malformation
dc.subjectlip reconstruction
dc.subjectlow level laser therapy
dc.subjectmale
dc.subjectmouth mucosa
dc.subjectpostoperative period
dc.subjectpriority journal
dc.subjectscar formation
dc.subjectsuture removal
dc.subjecttreatment outcome
dc.subjectupper lip
dc.subjectAdult
dc.subjectCarbon Dioxide
dc.subjectHumans
dc.subjectHypertrophy
dc.subjectLasers
dc.subjectLip
dc.subjectMale
dc.titleTreatment of developmental defect of upper lip with carbon dioxide laser radiation (CO2): First surgical timeen
dc.typeArtigo
dcterms.licensehttp://informahealthcare.com/userimages/ContentEditor/1255620309227/Copyright_And_Permissions.pdf
dspace.entity.typePublication
unesp.campusUniversidade Estadual Paulista (UNESP), Instituto de Ciência e Tecnologia, São José dos Campospt
unesp.departmentBiociências e Diagnóstico Bucal - ICTpt

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