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A Journal on Dentistry and Maxillofacial Surgery

Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
Indexed/Abstracted in: CAB, EMBASE, Index to Dental Literature, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index



Minerva Stomatologica 2013 Aug 01

language: English, Italian

Tongue flap to treat a severe case of Miescher’s cheilitis granulomatosa

Nocini P. F. 1, Procacci P. 1, Albanese M. 1, Trevisiol L. 1, D’agostino A. 1, Girolomoni G. 2, Palma P. 3, Chiarini L. 4, Bertossi D. 1

1 Department of Surgery Section of Oral and Maxillofacial Surgery University of Verona, Verona, Italy;
2 Department of Clinical Medicine Section of Dermatology and Venereology University of Verona, Verona;
3 Faculty of Medicine and Surgery Insubria in Varese University, Varese, Italy;
4 Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Modena and Reggio Emilia, Modena, Italy


Miescher’s cheilitis granulomatosa is the monosymptomatic form of Melkersson-Rosenthal Syndrome. Severe macrocheilitis often causes a functional and esthetical impairment of the lip. Conservative treatment represents the first option to face this rare disease. Unfortunately, medical treatment is often ineffective without any significant result as far as swelling and disfigurement are concerned. Reductive cheiloplasty is indicated in all those patients who have failed to respond to medical treatment. Excision of excess tissue may be obtained by means of several surgical techniques. We report a case of a 55-year-old man affected by severe granulomatous cheilitis refractory to any medical treatment and then treated with the use of tongue flap for the reconstruction of the excised lower lip.

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