title: Tongue flap to treat a severe case of Miescher's cheilitis granulomatosa.
abstract: Miescher's cheilitis granulomatosa is the monosymptomatic form of Melkersson-Rosenthal Syndrome. Severe macrocheilitis often causes a functional and esthetical impairment of the lip. Conservative treatment represents the first option to face this rare disease. Unfortunately, medical treatment is often ineffective without any significant result as far as swelling and disfigurement are concerned. Reductive cheiloplasty is indicated in all those patients who have failed to respond to medical treatment. Excision of excess tissue may be obtained by means of several surgical techniques. We report a case of a 55-year-old man affected by severe granulomatous cheilitis refractory to any medical treatment and then treated with the use of tongue flap for the reconstruction of the excised lower lip.
authors.affiliation: Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: P F
authors.initials: PF
authors.lastname: Nocini
authors.affiliation: Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Procacci
authors.affiliation: Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Albanese
authors.affiliation: Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Trevisiol
authors.affiliation: Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
authors.forename: A
authors.initials: A
authors.lastname: D'agostino
authors.affiliation: Department of Clinical Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Girolomoni
authors.affiliation: Faculty of Medicine and Surgery, Insubria in Varese University, Varese, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Palma
authors.affiliation: Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Modena and Reggio Emilia, Modena, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Chiarini
authors.affiliation: Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy - dario.bertossi@univr.it.
authors.forename: D
authors.initials: D
authors.lastname: Bertossi