Pyogenic Granuloma of the Vermillion: Surgical Treatment of Lip Vermilion, and its Outcomes

Abstract

Correspondence (İletişim): Alpay Duran, M.D. Avicenna Hastanesi, Plastik Cerrahi Klinigi, Istanbul, Turkey Phone (Telefon): +90 536 625 35 89 E-mail (E-posta): dr.alpayduran@hotmail.com Submitted Date (Başvuru Tarihi): 20.03.2018 Accepted Date (Kabul Tarihi): 08.10.2018 Copyright 2020 Haydarpaşa Numune Medical Journal OPEN ACCESS This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/). 157 Duran et al., Pyogenic Granuloma of the Vermillion / doi: 10.14744/hnhj.2018.72692 region exists. In addition, in some cases of vermilion, after the application of some treatment options, problems, such as excessive bleeding, lack of complete response, and recurrences, may develop[10–12]. In the light of this information, this study aims to evaluate the effectiveness of the electrocauterization of the wound bed following conventional surgical excision in the treatment of PGs located on the lower and upper lip vermilions and to examine the properties of the PGs located in this region. Materials and Methods This retrospective study was carried out between April 2016 and July 2017 in Şanlıurfa Mehmet Akif Inan Training and Research Hospital, Plastic, and Reconstructive Surgery and Sanliurfa Balikligol State Hospital Dermatology outpatient clinics and 16 cases with PG reported in the pathology reports after surgical excision were included in this study. PG patients included in this study underwent full elliptical excision after perilesional infiltration anesthesia (2% lidocaine and 1: 100.000 epinephrine), and following excision surgical wound beds were cauterized with electrocautery (Petas-PETKOT 500s, Turkey). The defects formed in vermillion were closed with the primary repair or vermilion advancement flaps using 5/0 rapid absorbable sutures (Vicryl Rapide; Ethicon Inc) to obtain esthetically good results considering the anatomical location and the size of the defect. The data of the cases were analyzed and age, gender, admission complaints, lesion diameter, its anatomical location, surgical treatment, treatment results and development of recurrence (if any) were evaluated. Patients were called for control in the 3rd week, 3rd and 6th months after the operation in terms of recurrence.