Lefora Free Forum
login join
Loading
385 views

Vertical incision on lower lip?

Page 1
1–2
novice - member
44 posts
I posted this seperately because I thought people with vertical incisions might not read the post about horazontil ones.

So if you had a vertical incision for the removal of a lower lip mucocele please let me know here. I'd appreciate it!


EDIT:

Maybe I need a better description of vertical vs. horazontil...especialy since I'm really concerned about the stitches orientation to the lip and not the actual cut.

So where your stitches up and down or right to left:

Here:

Up and Down=Vertical Incision

If you are standing upright, do your stitches make a line from your lip heading down such that one stitch is higher than the other in such a way that if you connect them you would draw a line that follows the lenght of your body and would extend past the lips up into the air and down through your body to the ground. This is what I ment by vertical. Lets just call this Up and Down.

Like this:

l
l
l
l
l

or if each x is an individual stitch that all line up like this:


x
x
x
x
x


Or

Left to Right = Horazontal

If you are standing upright, do your stitches make a line from one side of your lips to the other following the curve of your lip in such a way that all the stitches are roughly the same distance away from your lip and form a line that is opposite the lenght of your body. If you connect the stitches and draw a line it would go from left to right out either side of your jaw. This is what i ment by horazontal. Lets call this Left to Right.

Like This => ------------

or if each x is an individual stitch that all line up like this:


x x x x x x
novice - member
25 posts
Mine is definitely vertical, and the cut goes all the way down, much lower than the area of the mucocele cyst itself, presumably in order to remove the salivary gland. As I mentioned, I don't see how the horizontal cut along the lower lip can remove the salivary gland....in which case there is somewhat of a risk for recurrence....at least, this is my understanding. This is why they prefer to also remove the salivary gland while they're in there. But then again, I'm speaking from two week's Google surfing crash course on mucoceles.

http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijds/vol3n2/labial.xml

"Surgical excision is the most commonly used method ( 1 , 5 , 13 ) although if extirpation is not complete recurrence is frequent. Baurmash HD ( 1 ) showed that there are 3 possible approaches to the management of mucoceles of the lower lip which also apply. The small lesion can be completely excised, making sure to include the associated salivary gland tissue as well as any marginal glands before primary closure. Large mucoceles are best treated with an unroofing procedure (marsupialization).The third procedure involves the dissection of the mucocele along with the servicing mucous glands. This technique is performed on moderate sized lesions. As in the excision technique, all marginal glands should be removed before primary closure."
Page 1
1–2

Locked Topic


You must be a member to post in this forum

Join Now!