Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome

Background: Vascular malformation of lower lip is a very rare anomaly. The lesion leads to facial asymmetry, difficulty in speech and eating and drooling of saliva. Treatment goals include symmetrical reconstruction of the lip with minimal scarring, provide adequate bulk for the reconstruction of ve...

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Main Authors: Rajeev Pandey, Sanjeev Kumar, Jitender Kumar, Varun Arya, Rishabh Thakker, Minerva Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Indian Society of Pedodontics and Preventive Dentistry
Subjects:
Online Access:http://www.jisppd.com/article.asp?issn=0970-4388;year=2021;volume=39;issue=3;spage=329;epage=335;aulast=Pandey
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author Rajeev Pandey
Sanjeev Kumar
Jitender Kumar
Varun Arya
Rishabh Thakker
Minerva Singh
author_facet Rajeev Pandey
Sanjeev Kumar
Jitender Kumar
Varun Arya
Rishabh Thakker
Minerva Singh
author_sort Rajeev Pandey
collection DOAJ
description Background: Vascular malformation of lower lip is a very rare anomaly. The lesion leads to facial asymmetry, difficulty in speech and eating and drooling of saliva. Treatment goals include symmetrical reconstruction of the lip with minimal scarring, provide adequate bulk for the reconstruction of vermillion, in toto removal of the lesion and prevent recurrence. The most common complication during surgical removal of these lesions includes blood loss and profuse bleeding which leads to poor visibility, increased operation time and postoperative requirement of blood transfusion. Therefore, the use of sclerosing agent is recommended before surgical removal. This may help in decreasing bleeding during surgery but not in all cases. Case Report: Here, we report the use of Foley's catheter for the management of a high flow lesion of lower lip in a 12-year-old patient diagnosed with Mowat-Wilson syndrome. This technique helped in providing bloodless field which lead to minimal blood loss and good visibility intraoperatively.
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spelling doaj.art-29a703766d4e4e75bdaff28d29e026642022-12-22T03:31:21ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Pedodontics and Preventive Dentistry0970-43881998-39052021-01-0139332933510.4103/jisppd.jisppd_414_20Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndromeRajeev PandeySanjeev KumarJitender KumarVarun AryaRishabh ThakkerMinerva SinghBackground: Vascular malformation of lower lip is a very rare anomaly. The lesion leads to facial asymmetry, difficulty in speech and eating and drooling of saliva. Treatment goals include symmetrical reconstruction of the lip with minimal scarring, provide adequate bulk for the reconstruction of vermillion, in toto removal of the lesion and prevent recurrence. The most common complication during surgical removal of these lesions includes blood loss and profuse bleeding which leads to poor visibility, increased operation time and postoperative requirement of blood transfusion. Therefore, the use of sclerosing agent is recommended before surgical removal. This may help in decreasing bleeding during surgery but not in all cases. Case Report: Here, we report the use of Foley's catheter for the management of a high flow lesion of lower lip in a 12-year-old patient diagnosed with Mowat-Wilson syndrome. This technique helped in providing bloodless field which lead to minimal blood loss and good visibility intraoperatively.http://www.jisppd.com/article.asp?issn=0970-4388;year=2021;volume=39;issue=3;spage=329;epage=335;aulast=Pandeycatheterscleft palatelipsyndrometourniquetsvascular malformations
spellingShingle Rajeev Pandey
Sanjeev Kumar
Jitender Kumar
Varun Arya
Rishabh Thakker
Minerva Singh
Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome
Journal of Indian Society of Pedodontics and Preventive Dentistry
catheters
cleft palate
lip
syndrome
tourniquets
vascular malformations
title Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome
title_full Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome
title_fullStr Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome
title_full_unstemmed Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome
title_short Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome
title_sort use of foley s catheter as a tourniquet for the management of vascular lesion of lip in mowat wilson syndrome
topic catheters
cleft palate
lip
syndrome
tourniquets
vascular malformations
url http://www.jisppd.com/article.asp?issn=0970-4388;year=2021;volume=39;issue=3;spage=329;epage=335;aulast=Pandey
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