Cargando…

A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients

CONTEXT: Lips being one of the graceful cosmetic units of the face, any disfigurement, including depigmentation, can be embarrassing, psychologically distressing, and socially stigmatizing. Even with the evolution of various surgical modalities, none of the techniques ensure 100% pigmentation with a...

Descripción completa

Detalles Bibliográficos
Autores principales: Shilpa, Kanathur, Sacchidanand, S., Savitha, Somaiah, Ranjitha, Ramamurthy, Lakshmi, DV, Divya, Gorur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812883/
https://www.ncbi.nlm.nih.gov/pubmed/27081245
http://dx.doi.org/10.4103/0974-2077.178539
_version_ 1782424220827910144
author Shilpa, Kanathur
Sacchidanand, S.
Savitha, Somaiah
Ranjitha, Ramamurthy
Lakshmi, DV
Divya, Gorur
author_facet Shilpa, Kanathur
Sacchidanand, S.
Savitha, Somaiah
Ranjitha, Ramamurthy
Lakshmi, DV
Divya, Gorur
author_sort Shilpa, Kanathur
collection PubMed
description CONTEXT: Lips being one of the graceful cosmetic units of the face, any disfigurement, including depigmentation, can be embarrassing, psychologically distressing, and socially stigmatizing. Even with the evolution of various surgical modalities, none of the techniques ensure 100% pigmentation with a good cosmetic appearance. With this background, this study was undertaken to study the efficacy of the technique—primary excision and closure in treatment of lip leukoderma (LL). AIMS: To study the efficacy, cosmetic outcome, and recurrence following primary excision and closure technique in the management of LL. SETTINGS AND DESIGN: A prospective single-center open-label uncontrolled study. MATERIALS AND METHODS: Thirty patients with LL involving inner margin of the lower lip and those who fulfilled inclusion and exclusion criteria were included in the study. After obtaining consent and physician fitness, patients were posted for primary excision and closure of the vitiliginous area of the lip. Patients were followed up at the immediate postoperative period and 6 months later. Patient satisfaction scale was done by asking the patient to grade the response between one and ten. STATISTICAL ANALYSIS USED: Mean and percentiles. RESULTS: Out of 30 patients, 29 patients achieved complete clearance that was cosmetically acceptable. Only one patient showed recurrence at the end of 6 months. Average patient satisfaction scale showed an average of 9.66. CONCLUSIONS: Primary excision and closure technique is one of the safe, inexpensive modality in the management of LL involving the inner margin of the lip with immediate result.
format Online
Article
Text
id pubmed-4812883
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-48128832016-04-14 A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients Shilpa, Kanathur Sacchidanand, S. Savitha, Somaiah Ranjitha, Ramamurthy Lakshmi, DV Divya, Gorur J Cutan Aesthet Surg Original Article CONTEXT: Lips being one of the graceful cosmetic units of the face, any disfigurement, including depigmentation, can be embarrassing, psychologically distressing, and socially stigmatizing. Even with the evolution of various surgical modalities, none of the techniques ensure 100% pigmentation with a good cosmetic appearance. With this background, this study was undertaken to study the efficacy of the technique—primary excision and closure in treatment of lip leukoderma (LL). AIMS: To study the efficacy, cosmetic outcome, and recurrence following primary excision and closure technique in the management of LL. SETTINGS AND DESIGN: A prospective single-center open-label uncontrolled study. MATERIALS AND METHODS: Thirty patients with LL involving inner margin of the lower lip and those who fulfilled inclusion and exclusion criteria were included in the study. After obtaining consent and physician fitness, patients were posted for primary excision and closure of the vitiliginous area of the lip. Patients were followed up at the immediate postoperative period and 6 months later. Patient satisfaction scale was done by asking the patient to grade the response between one and ten. STATISTICAL ANALYSIS USED: Mean and percentiles. RESULTS: Out of 30 patients, 29 patients achieved complete clearance that was cosmetically acceptable. Only one patient showed recurrence at the end of 6 months. Average patient satisfaction scale showed an average of 9.66. CONCLUSIONS: Primary excision and closure technique is one of the safe, inexpensive modality in the management of LL involving the inner margin of the lip with immediate result. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4812883/ /pubmed/27081245 http://dx.doi.org/10.4103/0974-2077.178539 Text en Copyright: © 2016 Journal of Cutaneous and Aesthetic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Shilpa, Kanathur
Sacchidanand, S.
Savitha, Somaiah
Ranjitha, Ramamurthy
Lakshmi, DV
Divya, Gorur
A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients
title A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients
title_full A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients
title_fullStr A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients
title_full_unstemmed A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients
title_short A Study of the Outcome of Primary Excision and Closure Technique in the Management of Lip Leukoderma in 30 Patients
title_sort study of the outcome of primary excision and closure technique in the management of lip leukoderma in 30 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812883/
https://www.ncbi.nlm.nih.gov/pubmed/27081245
http://dx.doi.org/10.4103/0974-2077.178539
work_keys_str_mv AT shilpakanathur astudyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT sacchidanands astudyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT savithasomaiah astudyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT ranjitharamamurthy astudyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT lakshmidv astudyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT divyagorur astudyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT shilpakanathur studyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT sacchidanands studyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT savithasomaiah studyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT ranjitharamamurthy studyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT lakshmidv studyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients
AT divyagorur studyoftheoutcomeofprimaryexcisionandclosuretechniqueinthemanagementoflipleukodermain30patients