Limits...
Ascher syndrome: Review of literature and case report.

Ramesh BA - Indian J Plast Surg (2011)

Bottom Line: She also presented with eyelid swelling on and off for 11 months.Because her blepharochalasis is in active stage now, she is under periodic follow up for appropriate intervention.This article describes the management of the patient and brief overview of the syndrome.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Melmaruvathur Adhiparasakthi Institute of Medical Science and Research, Melmaruvathur, Tamil Nadu, India.

ABSTRACT
A 13 year old girl presented with aesthetic deformity of upper lip since birth. She also presented with eyelid swelling on and off for 11 months. She was diagnosed to be a rare case of Ascher syndrome. Ascher syndrome commonly presents with double lip and blepharochalasis, sometimes associated with goitre. The deformity of her double upper lip was corrected by appropriate surgery. Because her blepharochalasis is in active stage now, she is under periodic follow up for appropriate intervention. This article describes the management of the patient and brief overview of the syndrome. Ascher syndrome is often missed or misdiagnosed commonly.

No MeSH data available.


Related in: MedlinePlus

Ascher syndrome: Blepharochalasis and double upper lip
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3111109&req=5

Figure 1: Ascher syndrome: Blepharochalasis and double upper lip

Mentions: A 13-year-old girl was presented with aesthetic deformity of the upper lip [Figure 1]. Patient's mother said that the deformity was present since birth. She was going to school and often teased by her friends. Hence she was depressed. There was no history of lip trauma. She did not have lip-sucking habit. She also gave history of recurrent painless swelling of both upper eyelids, each episode lasting several days, for past 11 months. She did not have family history of similar compliants. On examination, her upper lip was bulky in repose [Figure 2]. When she smiled, a horizontal sulcus appeared in the upper lip making it appear as if she had two upper lips [Figure 3]. The buccal part of double upper lip measures 4.3 cm by 1.6 cm. It was soft in consistency and non-compressible. The lower lip was normal. Skin over both upper eyelids was thin, boggy and flaccid. Blepharochalasis was present more on right side. The excess skin was consistently more prominent laterally than medially [Figure 4]. Her lower eyelid and visual acuity were normal. She did not have goiter. She also did not have any systemic ailment. There was no laxity of skin elsewhere on the body. Patient was planned for surgical lip correction. Preoperatively horizontal elliptical marking was made encircling the buccal part of double upper lip. Small extension of elliptical marking continued up to commissure on either side. Under anaesthesia, marked buccal part of double upper lip tissue was excised. Only mucosa and submucosa was removed without damaging underlying muscle. The maxillary labial frenum was left intact. The wound closed with 4-0 absorbable interrupted sutures.


Ascher syndrome: Review of literature and case report.

Ramesh BA - Indian J Plast Surg (2011)

Ascher syndrome: Blepharochalasis and double upper lip
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3111109&req=5

Figure 1: Ascher syndrome: Blepharochalasis and double upper lip
Mentions: A 13-year-old girl was presented with aesthetic deformity of the upper lip [Figure 1]. Patient's mother said that the deformity was present since birth. She was going to school and often teased by her friends. Hence she was depressed. There was no history of lip trauma. She did not have lip-sucking habit. She also gave history of recurrent painless swelling of both upper eyelids, each episode lasting several days, for past 11 months. She did not have family history of similar compliants. On examination, her upper lip was bulky in repose [Figure 2]. When she smiled, a horizontal sulcus appeared in the upper lip making it appear as if she had two upper lips [Figure 3]. The buccal part of double upper lip measures 4.3 cm by 1.6 cm. It was soft in consistency and non-compressible. The lower lip was normal. Skin over both upper eyelids was thin, boggy and flaccid. Blepharochalasis was present more on right side. The excess skin was consistently more prominent laterally than medially [Figure 4]. Her lower eyelid and visual acuity were normal. She did not have goiter. She also did not have any systemic ailment. There was no laxity of skin elsewhere on the body. Patient was planned for surgical lip correction. Preoperatively horizontal elliptical marking was made encircling the buccal part of double upper lip. Small extension of elliptical marking continued up to commissure on either side. Under anaesthesia, marked buccal part of double upper lip tissue was excised. Only mucosa and submucosa was removed without damaging underlying muscle. The maxillary labial frenum was left intact. The wound closed with 4-0 absorbable interrupted sutures.

Bottom Line: She also presented with eyelid swelling on and off for 11 months.Because her blepharochalasis is in active stage now, she is under periodic follow up for appropriate intervention.This article describes the management of the patient and brief overview of the syndrome.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Melmaruvathur Adhiparasakthi Institute of Medical Science and Research, Melmaruvathur, Tamil Nadu, India.

ABSTRACT
A 13 year old girl presented with aesthetic deformity of upper lip since birth. She also presented with eyelid swelling on and off for 11 months. She was diagnosed to be a rare case of Ascher syndrome. Ascher syndrome commonly presents with double lip and blepharochalasis, sometimes associated with goitre. The deformity of her double upper lip was corrected by appropriate surgery. Because her blepharochalasis is in active stage now, she is under periodic follow up for appropriate intervention. This article describes the management of the patient and brief overview of the syndrome. Ascher syndrome is often missed or misdiagnosed commonly.

No MeSH data available.


Related in: MedlinePlus