Prominent inferior labial artery, also known as caliber-persistent labial artery is characterized by the appearance of a pulsating papule in the lower vermilion, a centimeter of two from the oral comissure, formed by an especially tortuous segment of the inferior labial artery.[1]
| Prominent inferior labial artery | |
|---|---|
| Other names | Caliber-persistent labial artery |
| Specialty | Dermatology |
Signs and symptoms
editProminent inferior labial artery may manifest as a linear pulsating nodule with bluish or normal mucosal color, a soft-tissue papule, or an ulcer. Usually, there are no symptoms. Periodically, the patient may experience a felt or visual increase in pulse volume at the lesion site.[2] Haemorrhagic events have also been recorded by ulcerative patients.[3][4]
Causes
editIt's yet unknown what causes prominent inferior labial artery.[2] Due to factors such as ischemia that raises pulse pressure, the lesion is more common among the elderly, who are more likely to develop ulcers in that area.[5] Actinic cheilitis, arteriosclerosis, advanced age-related atrophy, and specific drugs are other potential contributing factors.[6]
Diagnosis
editColor Doppler ultrasonography, which has excellent resolution and frequency and offers both morphological and vascular information, is one dependable real-time imaging tool that can be used to diagnose prominent inferior labial artery.[2] In the differential diagnosis of prominent inferior labial artery, vascular lesions such varicose veins, hemangioma, pseudoaneurysm, and vascular malformation,[7] as well as nonvascular lesions like mucocele, irritational fibroma, and sclerosing sialadenitis, can be taken into account.[4][8]
Treatment
editThe preferred course of treatment is surgical excision of the surface vessel, especially in patients who are prone to falls from their own height, are uncomfortable with the pulsation, or are at danger of mucosal biting.[6]
See also
editReferences
edit- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 586. ISBN 0-7216-2921-0.
- ^ a b c Thanthoni, Malarkodi; Rajeev, P; Sathasivasubramanian, S (2018-09-20). "Caliber-Persistent Labial Artery: A Report of a Rarely Recognized Lip Swelling". Journal of Clinical Imaging Science. 8. Scientific Scholar: 41. doi:10.4103/jcis.jcis_43_18. ISSN 2156-7514. PMC 6157096. PMID 30283723.
- ^ AbdulHameed AbdulMajeed, Ahmad; Farah, Camile S. (2010). "Intra-oral calibre persistent artery". Journal of Cranio-Maxillofacial Surgery. 38 (5). Elsevier BV: 331–333. doi:10.1016/j.jcms.2009.10.009. ISSN 1010-5182. PMID 19906538.
- ^ a b Kocyigit, P.; Kocyigit, D.; Akay, B. N.; Ustuner, E.; Kisnisci, R. (2006). "Calibre persistent labial artery: clinical features and noninvasive radiological diagnosis". Clinical and Experimental Dermatology. 31 (4). Oxford University Press (OUP): 528–530. doi:10.1111/j.1365-2230.2006.02126.x. ISSN 0307-6938. PMID 16716155.
- ^ Segundo-Jiménez, María del Mar García-San; Puche-Torres, Miguel; Torres-Gaya, Jorge; Marqués-Mateo, Mariano (2019). "Caliber-persistent Artery: A Case Report". International Journal of Clinical Pediatric Dentistry. 12 (5). Jaypee Brothers Medical Publishing: 475–477. doi:10.5005/jp-journals-10005-1662. ISSN 0974-7052. PMC 7229360. PMID 32440058.
- ^ a b Costa, Sabrina Araújo Pinho; Ruiz, Marcelo Martinson; Kaba, Shajadi Pardo; Florezi, Giovanna Piacenza; Lemos Júnior, Celso Augusto; Witzel, Andréa Lusvarghi (2015). "Caliber-Persistent Artery". Case Reports in Dentistry. 2015. Hindawi Limited: 1–5. doi:10.1155/2015/747428. ISSN 2090-6447.
- ^ Gianfranco, Gaimari; Vito, Cantisani; Raffaele, Guerrisi; Gianluca, Tenore; Umberto, Romeo; Eloisa, Fioravanti (2014). "Color-doppler ultrasound in the diagnosis of oral vascular anomalies". North American Journal of Medical Sciences. 6 (1). Medknow: 1. doi:10.4103/1947-2714.125852. ISSN 1947-2714. PMC 3938866.
- ^ Jaspers, Mark T. (1992). "Oral caliber-persistent artery". Oral Surgery, Oral Medicine, Oral Pathology. 74 (5). Elsevier BV: 631–633. doi:10.1016/0030-4220(92)90357-v. ISSN 0030-4220. PMID 1437065.
Further reading
edit- Piccione, Michael J.; Manganaro, Albert M.; Almony, Jeffrey S. (2010). "Caliber-Persistent Labial Artery: Diagnosis and Treatment—Case Report". Journal of Oral and Maxillofacial Surgery. 68 (8). Elsevier BV: 1987–1989. doi:10.1016/j.joms.2009.05.433. ISSN 0278-2391. PMID 19954876.
- Vazquez, Lydia; Lombardi, Tommaso; Guinand-Mkinsi, Hayat; Samson, Jacky (2005). "Ultrasonography: A Noninvasive Tool to Diagnose a Caliber-Persistent Labial Artery, an Enlarged Artery of the Lip". Journal of Ultrasound in Medicine. 24 (9): 1295–1301. doi:10.7863/jum.2005.24.9.1295. PMID 16123190.