PMC10017931_01
Photograph showing the upper lip at presentation.
10.1177_11795476231160046-fig1.jpg
PMC10017931_01_10.1177_11795476231160046-fig1.jpg
fig1-11795476231160046
The clinical examination revealed edema, redness, and fissuring of the upper lip (Figure 1), with unilateral edema and fissures on the buccal mucosa, and gingival hyperplasia in the upper jaw (Figures 2, 3a and b).
Photograph showing maxillary gingival hyperplasia.
10.1177_11795476231160046-fig2.jpg
PMC10017931_01_10.1177_11795476231160046-fig2.jpg
fig2-11795476231160046
The clinical examination revealed edema, redness, and fissuring of the upper lip (Figure 1), with unilateral edema and fissures on the buccal mucosa, and gingival hyperplasia in the upper jaw (Figures 2, 3a and b).
(a and b) Frontal and profile photographs showing the enlarged lips and lip fissures.
10.1177_11795476231160046-fig3.jpg
PMC10017931_01_10.1177_11795476231160046-fig3.jpg
fig3-11795476231160046
The clinical examination revealed edema, redness, and fissuring of the upper lip (Figure 1), with unilateral edema and fissures on the buccal mucosa, and gingival hyperplasia in the upper jaw (Figures 2, 3a and b).
Oral panoramic radiograph.
10.1177_11795476231160046-fig4.jpg
PMC10017931_01_10.1177_11795476231160046-fig4.jpg
fig4-11795476231160046
On oral panoramic X-rays (Figure 4), periapical alterations in teeth 21 and 22, deep caries in teeth 36, and radix relicta in teeth 46 were clearly discernible.
Photograph of the lips after 6 months of treatment.
10.1177_11795476231160046-fig5.jpg
PMC10017931_01_10.1177_11795476231160046-fig5.jpg
fig5-11795476231160046
Six months later, clinical evaluation showed improvement of the lip edema, but with slight cheek swelling, mainly toward the left side, with an asymmetric facial appearance (Figure 5).
(a and b) Profile and frontal photographs showing the lips after 9 months of treatment.
10.1177_11795476231160046-fig6.jpg
PMC10017931_01_10.1177_11795476231160046-fig6.jpg
fig6-11795476231160046
No mucosal alterations were present (Figure 6a and b).
Histopathologic view: (a) CK-MNF stain and (b) H&E stain.
10.1177_11795476231160046-fig7.jpg
PMC10017931_01_10.1177_11795476231160046-fig7.jpg
fig7-11795476231160046
There was also a proliferation of lymphatic vascular vessels (Figure 7a and b).