“Partial duplication of lower lip and hemimandible” A rare case
A 3 year old girl was referred to our department with complaints of double lower lip with drooling of saliva from angle of mouth []. There was no history of consanguity and no significant antenatal history. There was no history of other similar anomalies in the family. The child was born full term by normal vaginal delivery with no other detectable associated anomalies. Though the child was able to feed normally and achieved normal developmental milestones, there was constant drooling of saliva from the mouth. The child came for this drooling of saliva and correction of the deformity. The child underwent all routine investigations which were within normal limits. Lateral and Antero Posterior X- ray views of face showed duplication of right half of mandible with an extra row of tooth buds [Figures and ].\nThe child was planned for surgery with the goal to correct both the anomalies in a single stage. Patient was operated under general anaesthesia with nasal intubation. Plan was to preserve the right commissure with vermillion and excise the remaining tissues with the duplicated vermillion. Elliptical incision was given encircling the duplicated odontogenic material extending to the left of chin along the relaxed skin tension line []. The incision was deepened to the anterior surface of mandible. The excess odontogenic tissues along with the inferior row of extra dentition was removed [The Hypoplastic vermillion was augmented by vermillion sharing and the lower lip was thus reconstructed []. The patient was discharged after seven days [].