Melkersson–Rosenthal Syndrome: Reduction Cheiloplasty Utilizing a Transmodiolar Labial Suspension Suture

Cederna, Paul S.; Fiala, Tom G.S.; Smith, David J.; Newman, M. Haskell

doi:10.1007/s002669900173

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…15 Cederna et al combined the fleur-de-lis shaped cheiloplasty with a labial suspension suture in a case. 16 We believe that wedge resections alone can not be enough for excessive labial swelling particularly. In cases 3 and 4, we included a tangential resection of the orbicularis muscle to the cheiloplasty procedure.…”

Section: Discussionmentioning

confidence: 98%

Plastic Surgical Solutions for Melkersson-Rosenthal Syndrome

Tan¹,

Atik²,

Çalka³

2006

Annals of Plastic Surgery

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: Melkersson-Rosenthal Syndrome (MRS) is a rare granulomatous disease characterized by a triad, including orofacial swelling, facial palsy and lingua plicata with usually recurrent or progressive course. Orofacial swelling, the most often sign of MRS, leads to the both esthetic and functional deformities. Because of its unknown etiology, a rational treatment is difficult and management of MRS still remains symptomatic, aiming at to remove orofacial swelling mainly. Although the many nonsurgical therapies have been mentioned in the literature, none has been proved uniformly and predictably successful to date. In this paper, we present different surgical procedures and their outcomes in a series of 4 cases with MRS. The procedures including mucosa, submucosa and tangential muscle resection, crescent shaped commissuroplasty, and facial liposuction may be considered in surgical armamentarium when orofacial swelling becomes persistent. We think that the plastic surgeons may act more effectively in the management of the syndrome in the future.

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Section: Discussionmentioning

confidence: 98%

Plastic Surgical Solutions for Melkersson-Rosenthal Syndrome

Tan¹,

Atik²,

Çalka³

2006

Annals of Plastic Surgery

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“…Many treatment options include steroids, immunosuppressant therapy, and reconstructive surgery [30,31]. In follow-up care, one must exclude the development or coexistence of Crohn’s disease or sarcoidosis.…”

Section: Discussionmentioning

confidence: 99%

Melkerrson-Rosenthal Syndrome, a rare case report of chronic eyelid swelling

2013

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Melkerrson-Rosenthal syndrome is a rare disorder of unknown etiology. The classical triad of recurrent facial paralysis, swelling of the face, lips and deep furrowed tongue (Lingua Plicata) is seen in very few cases, majority of the patients often present with one or two symptoms only, which often leads to misdiagnosis and mismanagement. Clinically these symptoms vary from days to years, which further delay the definitive diagnosis and symptoms may eventually become permanent. The cause of this entity is not very well understood, but thought to be attributable to multiple entities including genetic and Infectitious. As this entity has been associated with numerous other clinical entities, diagnosis often remains an exclusion process. Methods: A middle age male with a chronic history of heavy eyelids with skin indurations predominately around left eye was presented to ophthalmology clinic. Physical examination revealed a deep furrowed tongue. The skin biopsy from left eyelid revealed a non-specific granulomatous lesion. The clinical correlation of facial swelling and deep plicated tongue prompted the differential of MRS Results: Histologically a non-specific granulomatous lesion was seen in dermis. As a rule, other causes of granulomatous diseases were ruled out especially Crohn’s disease and sarcoidosis. Polarization failed to reveal any foreign body. Conclusions: The finding of granulomatous lesion and clinical picture led to the definite diagnosis of Melkerrson-Rosenthal syndrome. Association with rosacea was other findings. Clinically his sign and symptoms are under control and no occurrence of symptoms has been noted so far.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1647494495993706

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“…1 La etiología del SMR es desconocida, aunque en la actualidad se barajan tres posibles orígenes de la enfermedad: el infeccioso, 9 el inmunológico desencadenado por alergia o intolerancia a algunos alimentos, 9 y un posible origen genético. 10,11 Por esta razón los tratamientos también han sido diversos, se han usado numerosos fármacos tanto locales como sistémicos: antibióticos sistémicos, salazosulfapiridina, radioterapia, corticoides tópicos, intralesionales y sistémicos, fármacos antileprosos, asociados, en muchos casos a una queiloplastía labial para alcanzar mejores resultados, 12,13 sin embargo, los resultados no siempre han sido satisfactorios.…”

Section: Discussionunclassified

Síndrome de Melkersson Rosenthal: reporte de un caso y revisión de la literatura

Maturana¹,

Ahumada²,

Córdova³

2008

Rev Esp Cirug Oral y Maxilofac

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El Síndrome de Melkersson Rosenthal se describe como la asociación de edema labial (queilitis granulomatosa de Miescher) y/o facial recurrente, parálisis facial recidivante y lengua fisurada. El edema labial recurrente se presenta en uno o ambos labios, el cual puede llegar a ser persistente. Cuando se presenta en forma aislada se considera como una forma monosintomatica de este síndrome. El objetivo de esta revisión es mostrar el seguimiento de un caso clínico atendido en nuestro servicio con el diagnóstico síndrome de Melkersson Rosenthal que presenta una gran queilitis granulomatosa asociada a lengua fisurada, cuyo tratamiento consistió en la infiltración de corticoides intralesionales y una posterior queiloplastía.

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Melkersson–Rosenthal Syndrome: Reduction Cheiloplasty Utilizing a Transmodiolar Labial Suspension Suture

Cited by 8 publications

References 14 publications

Plastic Surgical Solutions for Melkersson-Rosenthal Syndrome

Plastic Surgical Solutions for Melkersson-Rosenthal Syndrome

Melkerrson-Rosenthal Syndrome, a rare case report of chronic eyelid swelling

Síndrome de Melkersson Rosenthal: reporte de un caso y revisión de la literatura

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