Double Lip Surgical Correction in Ascher’s Syndrome: Diagnosis and Treatment of a Rare Condition

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“…Studies show a certain divergence in relation to the affection between genders [15][16][17], in which some state that there is no predilection for gender, while others suggest that the double lip has male predilection in the proportion of 7:1 [18]. If this is the case, the current report is a rare affection, since the patient is female.…”

Ascher’s Syndrome - An Oral Medicine Perspective

“…[15] Acquired double lip may be secondary to trauma or oral habits such as sucking the lip or between ill fitting dentures. [7] The patient with double lip as in our case can also develop speech problem and pronunciation of certain letters becomes difficult [1].…”

“…[1] The exact cause is unknown. Most cases are sporadic and rarely any family history has been recorded.…”

“…[1] This syndrome can be often missed out because of its rarity. Around 50% of patients with Ascher's syndrome have double lip, as compared to only 10-50% showing thyroid enlargement [2,3].…”

Congenital Double Lip - A Psychological Stigma

“…The acquired form of double lip may be secondary to trauma and oral habit, and may develop in association with Ascher's syndrome which consists of the triad of blepharochalasis, nontoxic thyroid enlargement and double lip. 6 The differential diagnosis should include cheilitis glandularis, vascular tumors, lymphangioma, angioedema, meischer's syndrome, mucocele, salivary gland tumors, sarcoidosis, inflammatory fibrous hyperplasia and plasma cell cheilitis, urbach weithe disease and mucosal neuromas of multiple endocrine neoplasia syndrome. 7 Treatment of double lip is indicated when the excess tissue interferes with mastication, speech or leads to habits such as sucking or biting of the redundant tissue or is of aesthetic concern.…”