Capillary malformation of the lower lip, lymphatic malformation of the face and neck, asymmetry and partial/generalized overgrowth (CLAPO): Report of six cases of a new syndrome/association

2008 ◽  
Vol 146A (20) ◽  
pp. 2583-2588 ◽  
Author(s):  
Juan Carlos López-Gutiérrez ◽  
Pablo Lapunzina
Keyword(s):  
Lymphatic Malformation ◽  
Lower Lip ◽  
Capillary Malformation ◽  
The Face ◽  
Syndrome Association

Lower lip capillary malformation associated with lymphatic malformation without overgrowth: Part of the spectrum of CLAPO syndrome

2018 ◽  
Vol 35 (4) ◽  
pp. e243-e244 ◽  
Author(s):  
Camila Downey ◽  
Juan Carlos López-Gutiérrez ◽  
Esther Roé-Crespo ◽  
Luis Puig ◽  
Eulalia Baselga
Keyword(s):  
Lymphatic Malformation ◽  
Lower Lip ◽  
Capillary Malformation

A driver drowsiness and distraction warning system based on raspberry Pi 3 Kit

2019 ◽  
Vol 70 (3) ◽  
pp. 184-192
Author(s):  
Toan Dao Thanh ◽  
Vo Thien Linh
Keyword(s):  
Processing System ◽  
Warning System ◽  
Raspberry Pi ◽  
Data Set ◽  
Lower Lip ◽  
Driver Drowsiness ◽  
Image Sensing ◽  
The Face ◽  
The Common ◽  
University Laboratory

In this article, a system to detect driver drowsiness and distraction based on image sensing technique is created. With a camera used to observe the face of driver, the image processing system embedded in the Raspberry Pi 3 Kit will generate a warning sound when the driver shows drowsiness based on the eye-closed state or a yawn. To detect the closed eye state, we use the ratio of the distance between the eyelids and the ratio of the distance between the upper lip and the lower lip when yawning. A trained data set to extract 68 facial features and “frontal face detectors” in Dlib are utilized to determine the eyes and mouth positions needed to carry out identification. Experimental data from the tests of the system on Vietnamese volunteers in our University laboratory show that the system can detect at realtime the common driver states of “Normal”, “Close eyes”, “Yawn” or “Distraction”

Lower lip capillary malformation with sawtooth border in CLAPO syndrome

2021 ◽  
Author(s):  
Juan Jimenez‐Cauhe ◽  
Diogo Cerejeira ◽  
Diego Fernandez‐Nieto ◽  
Daniel Ortega‐Quijano ◽  
Pablo Boixeda
Keyword(s):  
Lower Lip ◽  
Capillary Malformation

scholarly journals Lip Shaving in Carcinoma Lower Lip and Reconstruction by Local Advancement Mucosal Flap Under Local Anesthesia: A Case Report

2020 ◽  
Vol 5 (8) ◽  
pp. 905-909
Author(s):  
Tareq Mohammed ◽  
Mamoon TB ◽  
Md Sirajul Islam ◽  
Md Aminul Islam ◽  
Farid Uddin Milki ◽  
...  
Keyword(s):  
Sun Exposure ◽  
Squamous Cell Carcinomas ◽  
Careful Planning ◽  
Lower Lip ◽  
Verbal Expression ◽  
Lip Reconstruction ◽  
Mucosal Flap ◽  
The Face ◽  
Extensive Surgery ◽  
Oral Commissure

The lips are one of the most important features of the face; and are functionally and aesthetically very important. It serves as border of the oral commissure, provides access to oral cavity and contributes to oral competence. It is important for verbal expression and fundamental for facial expression and overall appearance of face1 . Excessive sun exposure and tobacco use, may develop cancer. The cancer can occur anywhere along the upper or lower lip, but is most common on the lower lip. Most lip cancers are squamous cell carcinomas. Surgery is the main stay of treatment and lip shave is an established modality for superficial lesion followed by reconstruction. Extensive surgery may be necessary for larger lesion. Careful planning and reconstruction can restore eating and speaking normally, and also achieve a satisfactory appearance after surgery. Evidence supports that the concept of lip reconstruction started as early as 1000 BC in the sacred texts of great Susruta, India2 . Lip mucosa is very special and it is recommended to reconstruct the surgical defect with lip tissue whenever possible, as any other tissue is never comparable or can replace the lip tissue3 . This is the example of this presented case.

Parkes Weber syndrome—Diagnostic and management paradigms: A systematic review

2016 ◽  
Vol 32 (6) ◽  
pp. 371-383 ◽  
Author(s):  
Igor Banzic ◽  
Milos Brankovic ◽  
Živan Maksimović ◽  
Lazar Davidović ◽  
Miroslav Marković ◽  
...  
Keyword(s):  
Systematic Review ◽  
Arteriovenous Malformation ◽  
Clinical Improvement ◽  
Venous Malformation ◽  
Lymphatic Malformation ◽  
Treatment Modalities ◽  
Eligibility Criteria ◽  
Capillary Malformation ◽  
Weber Syndrome ◽  
Klippel Trenaunay Syndrome

Objectives Parkes Weber syndrome is a congenital vascular malformation which consists of capillary malformation, venous malformation, lymphatic malformation, and arteriovenous malformation. Although Parkes Weber syndrome is a clinically distinctive entity with serious complications, it is still frequently misdiagnosed as Klippel–Trenaunay syndrome that consists of the triad capillary malformation, venous malformation, and lymphatic malformation. Methods We performed a systematic review investigating clinical, diagnostic, and treatment modalities of Parkes Weber syndrome (PubMed/MEDLINE, Embase, and Cochrane databases). Thirty-six publications (48 patients) fulfilled the eligibility criteria. Results The median age of patients was 23 years (IQR, 8–32), and 24 (50.0%) were males. Lower extremity was affected in 42 (87.5%) and upper extremity in 6 (12.5%) patients; 15 (31.3%) patients developed high-output heart failure; 12 (25.0%) patients had chronic venous ulcerations, whereas 4 (8.3%) manifested distal arterial ischemia. The spinal arteriovenous malformations were reported in six (12.5%) patients and coexistence of aneurysmatic disease in five (10.4%) patients. The most frequently utilized invasive treatments were embotherapy followed by amputation and surgical arteriovenous malformation resection, and occasionally stent-graft implantation. All modalities showed clinical improvement. However, long follow-up and outcome remained unclear. Conclusion A diagnosis of Parkes Weber syndrome should be made on the presence of capillary malformation, venous malformation, lymphatic malformation, and arteriovenous malformation (as main defect) in overgrowth extremity. Arteriovenous malformation presents the criterion for distinguishing Parkes Weber syndrome from Klippel-Trenaunay syndrome, which is substantial for treatment strategy. The primary management goal should be patient's quality of life improvement and complication reduction. Embolization alone/combined with surgical resection targeting occlusion or removal of arteriovenous malformation “nidus” reliably leads to clinical improvement.

scholarly journals Nigerian Female with Skin Lesions in the Leg and Face: Herpetic Sycosis Folliculitis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Dominique Dilorenzo ◽  
Naganna Channaveeraiah ◽  
Patricia Gilford ◽  
Bruce Deschere
Keyword(s):  
Normal Skin ◽  
The United States ◽  
Skin Lesions ◽  
Unusual Presentation ◽  
Diagnostic Dilemma ◽  
Lower Lip ◽  
Hiv Test ◽  
Mucus Membrane ◽  
The Face ◽  
The Right

Nongenital HSV 1 presents outside the mucus membrane. Our patient had unusual presentation that caused diagnostic dilemma. 30-year-old native Nigerian female coming with fiancée to the United States presented to our service one day after arrival through ER with a lesion on her right ankle. She was diagnosed with cellulitis, started on antibiotics, and admitted to hospital. She had fever of 39.1°C. Head and neck exam showed multiple sized lesions over tongue and palate and inner aspect of lower lip. Abdomen and genital exam was normal. Skin exam showed lesions over the face and lesions over the lateral aspect of the right leg. There was ulcerated lesion over the right lateral malleolus with surrounding erythema and edema. Her tests showed elevated ESR of 98; HIV test was negative; CT scan of the ankle showed no abscess or osteomyelitis. TB quantiferon was indeterminate; AFB stain and culture were negative; HSV IgM was elevated at 1 : 16; RPR was negative; ANA was negative; malaria screen was negative, and blood cultures were negative for bacteria, fungus, and virus. Debrided wound had no growth of bacteria or fungus or virus. This case illustrates the unusual presentation of the HSV1 outside the mucus membrane and how it can be confused with other conditions that required extensive tests. Therapeutic trail with antiviral medications resolved lesions over the leg and face.

scholarly journals Congenital Unilateral Hypoplasia of Depressor Anguli Oris

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Seckin O. Ulualp ◽  
Ronald Deskin
Keyword(s):  
Tertiary Care ◽  
Auditory Brainstem ◽  
Nasolabial Fold ◽  
Lower Lip ◽  
Normal Limits ◽  
Facial Musculature ◽  
The Face ◽  
Brainstem Response ◽  
Depressor Anguli Oris ◽  
Temporal Bones

Objectives. Asymmetric facial appearance may originate from abnormalities of facial musculature or facial innervation. We describe clinical features of congenital hypoplasia of depressor anguli oris muscle in a child.Material and Methods. Chart of a 10-month-old female referred to a tertiary care pediatric hospital for assessment of facial paralysis was reviewed. Data included relevant history and physical examination, diagnostic work up, and management.Results. The child presented with asymmetric movement of lower lip since birth. Asymmetry of lower lip was more pronounced when she smiled and cried. Rest of the face movement was symmetric. On examination, the face appeared symmetric at rest. The child had inward deviation of right lower lip when she smiled. Facial nerve function, as determined by frowning/forehead, wrinkling, eye closure, nasolabial fold depth, and tearing, was symmetric. Magnetic resonance imaging of the temporal bones and internal auditory canals were within normal limits. Echocardiogram did not show cardiac abnormality. Auditory brainstem response showed no abnormality.Conclusions. Congenital hypoplasia of depressor anguli oris is a rare anomaly that causes asymmetric crying face. Pediatricians and otolaryngologists need to be cognizant of cardiac, head and neck, and central nervous system anomalies associated with congenital unilateral hypoplasia of depressor anguli oris.

Tongue Representation in the Lateral Cortical Motor Region of the Human Brain as Assessed by Transcranial Magnetic Stimulation

2003 ◽  
Vol 112 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Ralph M. W. Rödel ◽  
Rainer Laskawi ◽  
Holger Markus
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Muscle Activation ◽  
Motor Evoked Potentials ◽  
Contralateral Side ◽  
Lower Lip ◽  
Somatotopic Organization ◽  
Head Surface ◽  
The Face ◽  
Mimetic Muscles

Motor evoked potentials (MEPs) of the lingual muscles elicited by focal cortical transcranial magnetic stimulation (TMS) with a figure 8-shaped coil were investigated in 17 healthy subjects with special regard to amplitude and onset latency as a function of the coil position on the head surface. Bilateral reproducible responses could be observed at coil positions mostly varying from approximately 6 to 13 cm lateral to the vertex. During moderate muscle activation, maximum responses were obtained at a mean stimulus position of about 11 cm lateral and 3 cm anterior to the vertex with similar onset latencies, but with significantly higher amplitudes on the contralateral side (3.5 ± 1.9 mV, 9.5 ± 1.1 ms contralateral; 2.6 ± 1.5 mV, 9.7 ± 1.0 ms ipsilateral). Comparing our data on the orbicularis oculi muscle with the results obtained on lower lip muscles, we found a considerable overlap of those coil positions from which reproducible MEPs could be elicited in both groups of target muscles, but the lingual area was placed more laterally. Thus, a statistically significant separation of the cortical representation areas of lingual and lower lip mimetic muscles is possible by focal cortical TMS, reflecting somatotopic organization of the face-associated motor cortex.

EMG Feedback and Recovery of Facial and Speech Gestures Following Neural Anastomosis

1978 ◽  
Vol 43 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Billie Daniel ◽  
Barry Guitar
Keyword(s):  
Muscle Activity ◽  
Action Potentials ◽  
Substantial Improvement ◽  
Upper Lip ◽  
Lower Lip ◽  
Feedback Training ◽  
The Face ◽  
The Subject ◽  
The Right ◽  
Lifting Task

A case report is presented of an attempt to increase muscle activity during non-speech and speech activities through surface electromyographic feedback. The subject, a 25-year-old male, had a surgical anastomosis of the seventh cranial to the twelfth cranial nerve five years prior to the initiation of this therapy. The right side of the face was immobile. Frequency analogs of muscle action potentials from the right lower lip during pressing, retraction, eversion, and speech were presented to the subject. His task was to increase the frequency of the tone thereby increasing muscle activity. The subject made substantial improvement in the gestures listed above. Electrodes also were placed in various infraorbital positions for an upper lip lifting task. This gesture was unimproved. Pre- and posttherapy independence of facial gestures from conscious tongue contraction was found. Possible explanations were proposed for (1) increases of muscle activity in the lower lip, (2) lack of change of MAPs in the upper lip, (3) independence of the facial muscle activity from conscious tongue contraction, and (4) effectiveness of this feedback training.

scholarly journals Long-term evaluation of Class II subdivision treatment with unilateral maxillary first molar extraction

2014 ◽  
Vol 85 (5) ◽  
pp. 757-763 ◽  
Author(s):  
Christos Livas ◽  
Nikolaos Pandis ◽  
Johan Willem Booij ◽  
Christos Katsaros ◽  
Yijin Ren
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Long Term Effects ◽  
Similar Time ◽  
Lower Lip ◽  
Soft Tissue Profile ◽  
The Face ◽  
Molar Extraction

ABSTRACT Objective:  To evaluate the long-term effects of asymmetrical maxillary first molar (M1) extraction in Class II subdivision treatment. Materials and Methods:  Records of 20 Class II subdivision whites (7 boys, 13 girls; mean age, 13.0 years; SD, 1.7 years) consecutively treated with the Begg technique and M1 extraction, and 15 untreated asymmetrical Class II adolescents (4 boys, 11 girls; mean age, 12.2 years; SD, 1.3 years) were examined in this study. Cephalometric analysis and PAR assessment were carried out before treatment (T1), after treatment (T2), and on average 2.5 years posttreatment (T3) for the treatment group, and at similar time points and average follow-up of 1.8 years for the controls. Results:  The adjusted analysis indicated that the maxillary incisors were 2.3 mm more retracted in relation to A-Pog between T1 and T3 (β  =  2.31; 95% CI; 0.76, 3.87), whereas the mandibular incisors were 1.3 mm more protracted (β  =  1.34; 95% CI; 0.09, 2.59), and 5.9° more proclined to the mandibular plane (β  =  5.92; 95% CI; 1.43, 10.41) compared with controls. The lower lip appeared 1.4 mm more protrusive relative to the subnasale-soft tissue-Pog line throughout the observation period in the treated adolescents (β  =  1.43; 95% CI; 0.18, 2.67). There was a significant PAR score reduction over the entire follow-up period in the molar extraction group (β  =  −6.73; 95% CI; −10.7, −2.7). At T2, 65% of the subjects had maxillary midlines perfectly aligned with the face. Conclusions:  Unilateral M1 extraction in asymmetrical Class II cases may lead to favorable occlusal outcomes in the long term without harming the midline esthetics and soft tissue profile.

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