Vermilionectomy: a treatment alternative for actinic cheilitis

  • Angelo Luiz Freddo PUCRS
  • Beatriz Farias Vogt PUCRS
  • Marcos Antonio Torriani UFPel
  • Elaini Sickert Hosni UFPel
Keywords: queilite actínica, raios ultravioleta, transtornos de fotossensibilidade, vermelhectomia

Abstract

Purpose: Ultraviolet radiation is the main etiological agent associated with the development of actinic cheilitis, a premalignant irreversible disease that frequently affects the vermilion border of the lower lip. This paper aimed to describe the case of a patient with actinic cheilitis and treated with scalpel vermilionectomy. Case Description: A male, Caucasian, 66 year-old subject sought dental treatment complaining of “wounds on the lip that not heal” for approximately 15 years. The patient reported that he had worked in farms since the age of 5 year-old and was a frequent user of alcohol and tobacco. Atrophic and erosive areas associated with many ulcers covered with eschars were observed throughout the length of the lip. Based on the patient history and clinical exam, scalpel vermilionectomy was proposed. The histopathological analysis revealed a superficially invasive squamous cell carcinoma with free borders. The patient was monitored for two years with no relapse. Conclusion: Scapel vermilionectomy was chose to treat this case due to its low cost, relatively short time for repair, and possibility of histopathological analysis of the removed tissue.

Author Biographies

Angelo Luiz Freddo, PUCRS
Especialista em CTBMF pela UFPel -RS e Mestre e Doutorando em CTBMF pela PUCRS.
Beatriz Farias Vogt, PUCRS
Especialista em CTBMF pela UFPel e Mestranda em Cirurgia e Traumatologia Bucomaxilofacial pela PUCRS.
Marcos Antonio Torriani, UFPel
Especialista, Mestre e Doutor em Cirurgia e Traumatologia Bucomaxilofacial, Professor Associado do Departamento de Cirurgia, Traumatologia e Prótese Buco-Maxilo-Faciais da Faculdade de Odontologia – UFPel – RS
Elaini Sickert Hosni, UFPel
Especialista e Mestre em Cirurgia e Traumatologia Bucomaxilofacial, Doutora em Estomatologia Clínica. Professora Adjunta do Departamento de Cirurgia, Traumatologia e Prótese Buco-Maxilo-Faciais da Faculdade de Odontologia – UFPel – RS
Published
2009-05-21
Section
Case Report