Vergleichende sonographische und histomorphologische Untersuchungen der Lippen

Lefarth, Florian; Prescher, Andreas; Angerstein, W

doi:10.1007/s00106-014-2918-1

Cited by 4 publications

(1 citation statement)

References 19 publications

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“…For this reason, it is not surprising that high frequency ultrasound scanning and histopathological examination play a huge role in the diagnosis of complications after soft tissue filling procedures, particularly suspected abscess, overcorrection, incorrect administration of the filling material, migration, fibrosis, foreign body granulomas, persistent deposit nodules and compression or embolisation of a vessel (22) .…”

Section: Discussionmentioning

confidence: 99%

High frequency ultrasound assessment of labial glands simulating small nodules or granulomas after lip augmentation

Skrzypek¹,

Mlosek²

2020

J Ultrason

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Aim of the study: The aim of this study is to evaluate the utility of high-frequency ultrasound in the assessment of the nature and differentiation of lumps occurring in the labial mucosa after lip filling procedures. Material and methods: The study sample included 5 women aged from 28 to 43 years (mean age: 37.4 years) who previously underwent a lip augmentation or rejuvenation procedure. Photographic documentation was taken and high-frequency ultrasound assessment was performed in all the patients. The presence of deposits, foreign body granulomas, fibrosis and labial glands was mainly investigated taking into account the shape of the abnormalities, their margins, surface area, location and echogenicity. In order to confirm the diagnosis, histopathological examination was performed. Results: The examinations performed made it possible to differentiate between granulomas and persistent deposit nodules and to demonstrate the presence of massive fibrosis and of labial glands pushed out by these abnormalities with the glands presenting as hypoechoic oval areas. Histopathological examination confirmed the morphology of labial glands reported by the patients as uncomfortable lumps felt from the side of the mucosa, which clinically simulate persistent deposit nodules or granulomas. Conclusions: High-frequency ultrasound is a method that is essential for the correct differentiation between complications of tissue filler procedures. This, in turn, makes it possible to apply the right treatment. In this study, it was demonstrated for the first time that the lumps reported by patients who have had a lip filling procedure may be the result of labial glands being pushed out by deposits, granulomas or massive fibrosis, which are complications of such procedures.

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Section: Discussionmentioning

confidence: 99%

High frequency ultrasound assessment of labial glands simulating small nodules or granulomas after lip augmentation

Skrzypek¹,

Mlosek²

2020

J Ultrason

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Morphologische und funktionelle Untersuchungen der Mundlippen bei Blechbläsern

Haubrich

Lefarth

Angerstein

2019

Sprache Stimme Gehör

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Lips of brass musicians can be investigated by ultrasound (morphology) and stroboscopy or kymography (function). These non-invasive imaging techniques are relevant in musicians? medicine for assessing the occupational (in)capacity of professional brass players. In cases of occupational lip injuries or overuse syndromes it often takes long-term rehabilitation programmes to restore the ability to play the instrument. Sometimes even an occupational disability may result.

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Sonographic Analysis of the Upper Labial Orbicularis Oris and Its Clinical Implications

Park

Lee

Gil

et al. 2019

Aesthetic Surgery Journal

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Background Purse string lips, which include the vertical wrinkles over the lips, are frequently observed in aged individuals. Botulinum toxin and fillers are routinely injected into these areas to remove the wrinkles; however, the anatomy of the orbicularis oris muscle (OOr) near the vermilion border area has not been well defined. Objectives The aim of this study was therefore to identify any morphological differences of the upper OOr via sonographic imaging. Methods The upper lip muscles as observed utilizing an ultrasound device were divided into 2 muscles (pars peripheralis and pars marginalis) that were subsequently divided into a further 2 types (Type I and Type II) associated with the development of the pars marginalis. Type II was further divided into Type IIa and Type IIb depending on whether the muscle fibers were well developed and connected. Results On the midline of the lip, Type I, in which the pars marginalis was rarely observed and only appeared in traces, was observed in 20.0% of the volunteers. Type IIa, in which the pars marginalis was well-developed and appeared continuous, was observed in 42.9% of the volunteers. Type IIb, in which the pars marginalis was observed but appeared discontinuous, was observed in 37.1% of the volunteers. Conclusions The shapes of the upper pars marginalis of the OOr varied markedly between volunteers. Type classification of the OOr based on its shape and the lip appearance serves as a reliable source of reference information to be utilized when injecting botulinum toxin into the upper lip.

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Vergleichende sonographische und histomorphologische Untersuchungen der Lippen

Cited by 4 publications

References 19 publications

High frequency ultrasound assessment of labial glands simulating small nodules or granulomas after lip augmentation

High frequency ultrasound assessment of labial glands simulating small nodules or granulomas after lip augmentation

Morphologische und funktionelle Untersuchungen der Mundlippen bei Blechbläsern

Sonographic Analysis of the Upper Labial Orbicularis Oris and Its Clinical Implications

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