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

Jung, Han Ju; Kang, Seok Joo; Kim, Jin Woo; Sun, Hook

doi:2012.13.1.57

Arch Craniofac Surg > Volume 13(1); 2012 > Article

Case Report

Archives of Craniofacial Surgery 2012;13(1):57-59.
DOI: https://doi.org/10.7181/acfs.2012.13.1.57

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

Han Ju Jung, Seok Joo Kang, Jin Woo Kim, Hook Sun

Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. sonydr@naver.com

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.

Keywords: Congenital sinus; Upper lip