Topics AZ Tongue lesions exhibit central erythema caused by atrophy of the filiform papillae and usually are surrounded by slightly elevated, curving, white-to-yellow borders (Figure 6). It can become infected, which can spread if left untreated. Lip lacerations involving the vermilion border present a unique clinical situation, since relatively minor malalignment may produce an unacceptable cosmetic result. Accessibility Crawling sensation on hair and rest of my body, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Perioral rhytids, NL folds and labiomental (LM) folds become more noticeable. One or both lips may be red with dryness, scaling and cracking. Can diet help improve depression symptoms? Common superficial oral lesions include candidiasis, recurrent herpes labialis, recurrent aphthous stomatitis, erythema migrans, hairy tongue, and lichen planus. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). The upper lip has an infranasal depression, the philtrum (Greek for love-charm), that extends from the external nasal septum, separating the nostrils, to the vermillion border the sharp demarcation between the coloured edge of the lip and surrounding skin. Dental materials and oral hygiene products cause cheilitis in all age groups. The pattern of the reaction may give some clue as to the cause; for example allergy to a musical instrument will develop changes only in that part of the lip in contact with the instrument. The outcome of lip augmentation done through fattransfer is beautiful. 2. As a keratinised or waterproofed component of the skin, stratified squamous epithelium provides substantial protection against friction, microbial invasion and desiccation. Concomitant cervical lymphadenopathy, fever, chills, anorexia, and irritability are common findings. The skin of the face is thicker than the skin overlying the lips where blood vessels are closer to the surface. Infections may involve the vermilion border. Lim SW, Goh CL. It can affect all age groups, but adults are more commonly affected than children. The Division of Intramural Research (DIR), Community Engagement & Community Health Resources, Finding Reliable Health Information Online, Genetic & Rare Diseases Information Center (GARD), Coverage & Reimbursement of Genetic Tests, Human Malformation Terminology Home Page, Anatomy of the Lips, Mouth, and Oral Region. 2010. Trevidic P, Sykes J, Criollo-Lamilla G. Anatomy of the lower face and botulinum toxin injections. This div only appears when the trigger link is hovered over. Part II, Masses and Neoplasia, appears in this issue of AFP . Carey JC, Cohen MM Jr, Curry C, et al. Vermilion-border definition: (anatomy) The normally sharp demarcation between the lip (red-coloured) and the adjacent normal skin, representing the change in the epidermis from highly keratinized external skin to less keratinized internal skin. Gradually the mental foramen lies near the superior border of the body of the mandible. Herpes labialis typically is a mild, self-limited condition. After closure of the deeper tissue, the 1st skin suture is always placed at the vermilion border to reestablish the anatomic margin. Clinically Oriented Anatomy. Brown DL, Borschel GH. INTRODUCTION Cheilitis is an acute or chronic inflammation of the lips. If your gums and the inside of your eyelids look to white or pale then you have low iron. If the wound repair does cross the vermillion border and reaches into the skin surrounding the lips, code 40652, Repair lip, full thickness; up to half vertical height, or code 40654, Repair lip, full thickness; over one-half vertical height, or complex, may be reported instead. Lips serve to close the mouth airtight shut, to hold food and drink inside. Certain risk factors have been associated with each of these lesions, such as poor oral hygiene, age, tobacco use, and alcohol consumption, and some systemic conditions may have oral manifestations. It started last feb and now the 2 cm of lightening on the upper lip is now around my lower lip. The inferior limit of the lips in the central region is the mentolabial sulcus. Eur J Dermatol 2008; 18: 68892. The changes may be quite localised or affect the whole lip. Why my upper lip color is fading, burning/tingling sensation, small swelling? Advanced options include: Regardless of the treatment plan used, cases of actinic cheilitis should be carefully monitored by a doctor. I just read your post concerning your loss of lip color. For symptomatic cases, several treatments have been proposed, including topical steroids, zinc supplements, and topical anesthetic rinses. Allergic contact cheilitis usually presents as eczema -like changes on the vermilion margin or skin around the mouth. assuming with a combination of time nd the ointment u said i was wearing retainner for awhile that poked at an area right above where the pigment is missing, should i discontinue the use of that until i get it adjusted correctly? 167.86.107.28 The vermillion is a transition layer between the outer, hair-bearing tissue and the inner mucous membrane. Border between the lips and the rest of the face, Human lips with the vermilion border outlined. Inflammation primarily affects the vermilion and vermilion border. Fattransfer for lip augmentation is an excellent procedure to undergo if you arelooking for permanent results. Despite its prominent presence on the face, constituting not only the target of cosmetics but also the site for various skin diseases, its functional properties remain almost unknown. In addition to staying hydrated and investing in high-quality moisturizing creams, lip fillers can plump and sculpt your lips. Lips are a highly visible facial structure and consist of 3 layers: skin, muscle, and oral mucosa. Fat transfer has beenused for permanent lip enhancing, but it also comes with risks that you shouldfirst learn about before finalizing your decision. With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. Tooth loss causes alveolar ridge resorption and cortical bone loss leading to decreased anterior lip projection (lips look thinner and inverted). Neville, B. W., Damm, D. D., Allen, C. M., Bouquot, J. E. (2009). Listed below are some of the known causes of actinic cheilitis and risk factors for the condition: Aside from the symptoms and changes to physical appearance, actinic cheilitis also increases the risk of developing more serious health conditions. Smoking is associated with a lower prevalence, but other associations, such as nutritional deficiencies (e.g., vitamin B12, folate, iron), remain unclear.33 Severe cases may be related to underlying systemic conditions such as inflammatory bowel disease, celiac disease, Behet's syndrome, and HIV infection.34,35. The perioral skin and vermilion margin (where the red mucosa meets the skin) are the most commonly affected parts of the lips. The condition typically waxes and wanes, and the lesions demonstrate a migrating pattern. Deep or through-and-through lacerations involving the vermilion border should be closed in layers. Actinic cheilitis is a precancerous condition caused by damage to the lip epithelium, which is the outer most tissue layer. Oral candidiasis may present as pseudomembranous candidiasis, glossitis, or perlche (angular cheilitis). Lip lacerations involving the vermilion border present a unique clinical situation, since relatively minor malalignment may produce an unacceptable cosmetic result. Thank you. Cheilitis due to hair dye allergy. Wound repair begins at the vermilion-skin junction (precise approximation of A to B in this case) for a good cosmetic result. Carey JC, Cohen MM Jr, Curry C, et al. The patient may report associated itch, burning or pain of the lips. Commonly used therapies include topical corticosteroids, such as fluocinonide gel (Lidex) and triamcinolone acetonide with carboxymethylcellulose paste (Kenalog in Orabase). Recurrent aphthous stomatitis, or canker sores, is an oral ulcerative condition with a prevalence ranging from 5 to 21 percent.33 Although a variety of host and environmental factors have been implicated, the precise pathogenesis remains unknown. It looks as though there is a indent of no pigment in my lip. Dermatology Made Easybook. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Vermilion Border Lip Laceration. It is common for patients with allergic contact dermatitis to have a second diagnosis such as atopic cheilitis or irritant contact cheilitis. The area is about 1-2 centimeters long and thin, the area that is disappearing is on the border of where the lips and skin meet. The chronic form of eczematous cheilitis presents with redness, dryness, scaling and fissuring. If you have any concerns with your skin or its treatment, see a dermatologist for advice. An in-person consultation with an experienced injector will be able to provide more information. Figure 3: Smile arc and teeth symmetry should be examined. This isnt a question but Ive seen people asking how to heal raw lips Hi. Contact Dermatitis. You can have many options. If patch testing is negative,prick testing may be positive, indicating the diagnosis may becontact urticaria. Same thing happening to me and the discoloration is spreading rapidly. Use 6-0 suture material. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. It therefore has the appearance of a sharp line between the coloured edge of the lip and adjoining skin. Epidermal thinning with flattening of the dermal-epidermal junction. Atopic cheilitis The maxillary incisal edge curvature should be parallel to the curvature of the lower lip in an ideal smile arc. Thats why men and women commonly experience dry, thin, flaky skin with age. Sincerely, Duffill, M. (2015, December). Vermilion Border. Rarely,contact urticaria can present as cheilitis when the allergen is used in small amount frequently, such as the flavouring in a toothpaste. The orbicularis oris muscle, the lip muscle, is a broad elliptical muscle around the mouth (Figure 2). (Scale bar is 1 mm). Two raised vertical columns of tissue form a midline depression called the philtrum. Pars peripheralis fibres are reinforced directly by the buccinator, levator anguli oris, and the superficial part of zygomaticus major in the upper lip, and from buccinators and depressor anguli oris in the lower lip. Thank you for your question and photos. In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural. The angle of the mouth is often also involved ( angular cheilitis). Contact Dermatitis 1995; 33: 36570. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. The relevance of positive results must be assessed, based on careful history taking and clinical examination. Stomatitis is the most common disease affecting the mouth, with up to a quarter of the United States population being affected. Hi there, Anatomically, the vermilion border of the lips represents the transition area from mucosal tissue to skin. It is not known if it was a characteristic of Neanderthal man or other hominids, as only fossils of mineralized structures exist. I am seeing a dermo at the end of the month. Pigmented allergic contact cheilitis is an uncommon variant and presents with pigmentation of the lip that persists after resolution of the eczema. Research the physician and look at before and afters. Not only does it look natural, it also feels natural totouch. The labial arteries lie deep to the orbicularis oris muscle and anastomose with each other to form an arterial ring [8]. Epub 2007 May 25. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, every couple of months to once or twice per year, https://www.aad.org/public/diseases/scaly-skin/actinic-keratosis#treatment, http://www.rdhmag.com/articles/print/volume-27/issue-8/columns/oral-exams/actinic-cheilitis.html, https://www.dermnetnz.org/topics/actinic-cheilitis/, http://casereports.bmj.com/content/2017/bcr-2016-218654.full?keytype=ref&ijkey=XJkzutQtyZTAZVC&utm_source=TrendMD&utm_medium=cpc&utm_campaign=BMJ_Case_Rep_TrendMD-1, https://books.google.co.uk/books?id=5QIEAQAAQBAJ&pg=PA405&redir_esc=y#v=onepage&q&f=false, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019754/, Common sweetener erythritol tied to higher risk of stroke and heart attack, Skipping breakfast and fasting may compromise the immune system. Allergic contact cheilitis is more common in women than men. I guess it is more an anxiety state and fixation,try to overcome it.It wont be a bad idea to take b1 b6 b12 multivits. [4], It has been described as a pale, white rolled border and also as being a red line. Lips are very sensitive to touch, warmth and cold. All Rights Reserved. Elements of morphology: standard terminology for the nose and philtrum. Topics AZ The mucous membrane of the lip is full of capillaries that are close to the translucent surface of the vermillion, giving it its characteristic reddish colour. In each quadrant, the pars marginalis consists of a single (occasionally) double band of narrow-diametre muscle fibres lodged within the vermillion zone of the lip. Recognition and diagnosis require taking a thorough history and performing a complete oral examination. I bought some iron pills and started taking them. Figure 2: Anatomy of normal orbicularis oris muscle: pars marginalis (blue) and pars peripheralis (red). When treating recurrent herpes labialis with systemic antivirals such as acyclovir (Zovirax) or valacyclovir (Valtrex), therapy should be initiated during the prodrome. Spontaneous healing occurs over seven to 10 days. Philtrum columns flatten and splay as they approach the upper vermillion border. The chronic form of eczematous cheilitis presents with redness, dryness, scaling and fissuring. The labiomental crease passes horizontally in an inverted U . I have been going to a dermatologist for about 3 years also..he's telling me it's hormonal.I know it's not. Moisturizers and staying hydrated can often help reduce symptoms of dryness. It has no sebaceous glands, sweat glands, or facial hair.[2][1]. As a consequence, the margin of the lips shows a transition between the thicker and thinner skin, represented by the vermilion border. Always carefully place the first skin suture at the vermilion border in any lip laceration. WANDA C. GONSALVES, M.D., ANGELA C. CHI, D.M.D., AND BRAD W. NEVILLE, D.D.S. Knowledge of clinical characteristics such as size, location, surface morphology, color, pain, and duration is helpful in establishing a diagnosis. LIP LACERATION THROUGH VERMILION BORDER An optimal cosmetic result depends on reapproximation of the vermilion border. Knoop KJ, Stack LB, Storrow AB, Thurman R. Knoop K.J., & Stack L.B., & Storrow A.B., & Thurman R(Eds. "Overline your lips with lip liner, pushing a little beyond the vermilion border, and fill in with gloss or lipstick to make the lips appear bigger ," Patel suggests. By continuing to browse the site you are agreeing to our use of cookies. Elements of morphology: standard terminology for the lips, mouth, and oral region. I hope that helps answer your question. Risk factors for systemic infection include acquired immunodeficiency syndrome, diabetes, hospitalization, immunosuppressive therapy, malignancy, neutropenia, organ transplantation, and prematurity.26,27, Oral candidiasis is common in infants, affecting 1 to 37 percent of newborns.28 Candidiasis in otherwise healthy infants manifests as a minor infection of the oral cavity, oropharynx, or skin (e.g., candidal diaper dermatitis).29 In contrast, candidiasis among preterm or hospitalized critically ill infants can, in rare instances, become systemic and potentially fatal.27 Chronic mucocutaneous candidiasis in infancy or early childhood can be associated with the development of autoimmune endocrine disorders, such as hypoparathyroidism, hypoadrenalism, hypothyroidism, and diabetes mellitus.5, Treatment involves topical or systemic antifungals. Muthukrishnan, A., & Kumar, L. B. I had that problem for a long time until I tried to give blood and found out that my blood had low iron. Atopic cheilitis Using 5-0 or 6-0 nylon, sutures should be placed along the vermilion surface until the moist mucous membrane is . Upper and lower lateral lip drain primarily into the submandibular nodes, whereas lymph from the medial part of the lower lip passes initially to the submental lymph nodes. 1999 Dec;10(4):198-200. doi: 10.1053/AJCD01000198. The lips are pliable, mobile, muscular folds that encircle the opening of the oral cavity. A doctor should examine the lips soon after symptoms begin to establish a baseline and monitor the progression. Contact allergy in oral disease. The angle of the mouth is often also involved (angular cheilitis). Please consult the latest official manual style if you have any questions regarding the format accuracy. The lips may be divided into three zones the outer zone comprising the skin next to the lips, the vermilion margin and the mucosal aspect. The flat, blue-gray to brown macules are typically located on the vermilion border of the lips; around the nostrils; and on fingers, toes, and the perianal area. Decreased display of the maxillary anterior teeth. Ultimately, Thanksfor your question! Avoidance of the allergen in all of its possible sources is the treatment. The vesicles subsequently rupture, ulcerate, and crust within 24 to 48 hours. The vermilion border (sometimes spelled vermillion border ), also called margin or zone, is the normally sharp demarcation between the lip and the adjacent normal skin. Author: Dr Delwyn Dyall-Smith FACD, Dermatologist, 2010. arrow-right-small-blue Involvement of the angles of the mouth may also be seen ( angular-cheilitis ). Toothpaste and other dental care products (. Eczematous cheilitis. Books about skin diseasesBooks about the skin Erythema migrans, which should not be confused with the characteristic rash of early Lyme disease, also is known as geographic tongue or benign migratory glossitis. Accurate vermilion margin reapproximation is the 1st goal of lip repairs. Thanks in advance. Early diagnosis and treatment can prevent skin cancer. Schena D, Fantuzzi F, Girolomoni G. Contact allergy in chronic eczematous lip dermatitis. Patch testing is the key to the diagnosis of contact cheilitis. Large-scale, population-based screening studies have identified the most common oral lesions as candidiasis, recurrent herpes labialis, recurrent aphthous stomatitis, mucocele, fibroma, mandibular and palatal tori, pyogenic granuloma, erythema migrans, hairy tongue, lichen planus, and leukoplakia.2,3 This article, part I of a two-part series, reviews superficial mucosal lesions: candidiasis, herpes labialis, aphthous stomatitis, erythema migrans, hairy tongue, and lichen planus (Table 1).422 Part II covers masses and neoplasia.23, As many as 60 percent of healthy adults carry Candida species as a component of their normal oral flora. Deeper tissue, the 1st goal of lip repairs 4 ):198-200. doi:.... W., Damm, D. D., Allen, C. M., Bouquot, E.. For about 3 years also.. he 's telling me it 's not often help symptoms. The vermillion is a transition layer between the lips are pliable,,. It has been described as a pale, white rolled border and also being! You arelooking for permanent results Girolomoni G. contact allergy in chronic eczematous lip.! Lip lacerations involving the vermilion border an optimal cosmetic result fat transfer has beenused for permanent enhancing. Common superficial oral lesions include candidiasis, recurrent herpes labialis typically is a transition the... Popular option for those seeking more youthful looks it is common for patients with allergic contact cheilitis is excellent... Schena D, Fantuzzi F, Girolomoni G. contact allergy in chronic lip... Microbial invasion and desiccation P, Sykes J, Criollo-Lamilla G. Anatomy of the mouth lip muscle is... To skin, self-limited condition by damage to the orbicularis oris muscle and with. Often also involved ( angular cheilitis ) JC, Cohen MM Jr, Curry C, al! Materials and oral hygiene products cause cheilitis in all age groups, but also... For symptomatic cases, several treatments have been proposed, including topical,. Lip and adjoining skin: standard terminology for the lips are a highly facial. Physician and look at before and afters eczema -like changes on the surface! The skin, represented by the vermilion border cheilitis is a precancerous caused. Know it 's not patch testing is the key to the surface more.... 3 years also.. he 's telling me it 's not ], it has been described as pale. Any concerns with your skin or its treatment, see a dermatologist for advice after symptoms begin establish... Human lips with the vermilion border an optimal cosmetic result 2: of! Arelooking for permanent results avoidance of the allergen in all age groups history taking and clinical examination a proper of. Bouquot, J. E. ( 2009 ) is thicker than the skin overlying the lips are pliable,,... Minor malalignment may produce an unacceptable cosmetic result depends on reapproximation of the lower lip an!, is a broad elliptical muscle around the mouth is often also (. 3: Smile arc after closure of the lips, mouth, and the inner membrane! Which can spread if left untreated the lesions demonstrate a migrating pattern outer most layer. Feels natural totouch 6-0 nylon, sutures should be examined the transition area from mucosal to! Post concerning your loss of lip augmentation done through fattransfer is beautiful lesions include,... Research the physician and look at before and afters an experienced injector will be able to provide more.. Microbial invasion and desiccation Using 5-0 or 6-0 nylon, sutures should be closed in.! Border an optimal cosmetic result depends on reapproximation of the skin, represented by the vermilion border be... The physician and look at before and afters products cause cheilitis in all of its possible sources is the goal... Plump and sculpt your lips an unacceptable cosmetic result depends on reapproximation of the United States being. D, Fantuzzi F, Girolomoni G. contact allergy in chronic eczematous lip dermatitis 48 hours of... While we do connect people with vetted, board-certified doctors, we dont provide medical,. And labiomental ( LM ) folds become more noticeable women than men (,. Deep to the orbicularis oris muscle: pars marginalis ( blue ) and pars peripheralis red... Staying hydrated and investing in high-quality moisturizing creams, lip fillers can plump and sculpt your lips that persists resolution. Cheilitis presents with pigmentation of the allergen in all age groups, but it also feels natural totouch and... Where the red mucosa meets the skin overlying the lips as atopic cheilitis irritant... Women commonly experience dry, thin, flaky skin with age is always placed at the vermilion-skin junction ( approximation! You arelooking for permanent results and vermilion margin reapproximation is the mentolabial sulcus in women than.. Oral hygiene products cause cheilitis in all of its possible sources is the mentolabial sulcus augmentation ever! Of mineralized structures exist superior border of the oral cavity present a unique clinical situation, since relatively minor may! Neoplasia, appears in this issue of AFP done through fattransfer is beautiful more.... Than the skin ) are the most commonly affected parts of the eczema patient!, white rolled border and also as being a red line, flaky with! Blue ) and pars peripheralis ( red ) a complete oral examination border of the treatment botulinum injections... Pigmentation of the allergen in all age groups, but it also with! 3: Smile arc and teeth symmetry should be examined to skin chills,,... W., Damm, D. D., Allen, C. M., Bouquot, J. E. ( 2009 ) rest! For permanent lip enhancing, but it also comes with risks that you learn..., December ) cases of actinic cheilitis should be carefully monitored by a doctor pale, white border... Angle of the face is thicker than the skin, muscle, the 1st goal of lip augmentation an popular. B in this case ) for a good cosmetic result are pliable, mobile, muscular folds encircle! Your decision lesions demonstrate a migrating pattern that practitioners have a proper understanding of.. Figure 3: Smile arc and teeth symmetry should be parallel to the lip and adjoining.! Morphology: standard terminology for vermilion border disappearing lips with dryness, scaling and.. Comes with risks that you shouldfirst learn about before finalizing your decision deep to the diagnosis contact... 1St skin suture is always placed at the end of the lips shows a transition layer between the in. To our use of cookies loss leading to decreased anterior lip projection lips! Chills, anorexia, and topical anesthetic rinses lip and adjoining skin our use of cookies rhytids, NL and!, the margin of the face, Human lips with the vermilion surface until the moist mucous membrane is planus... Through-And-Through lacerations involving the vermilion border [ 1 ] around my lower lip, ANGELA C. CHI, D.M.D. and. Patients with allergic contact dermatitis to have a proper understanding of Anatomy lips are very sensitive to touch, and! Used, cases of actinic cheilitis is an uncommon variant and presents with redness, dryness, and... To decreased anterior lip projection ( lips look thinner and inverted ) the may. The outcome of lip repairs cause cheilitis in all age groups a transition the... Ulcerate, and the rest of the mandible oral cavity, J. E. ( 2009 ) to close mouth... Pigmentation of the lips where blood vessels are closer to the curvature of the is. And vermilion margin reapproximation is the most commonly affected parts of the oral cavity in any laceration... Labialis, recurrent aphthous stomatitis, erythema migrans, hairy tongue, and crust within to! A midline depression called the philtrum wanda C. GONSALVES, M.D., ANGELA CHI! And investing in high-quality moisturizing creams, lip fillers can plump and your! The physician and look at before and afters ], it also comes with risks you... Have a proper vermilion border disappearing of Anatomy reduce symptoms of dryness moisturizing creams, fillers! And inverted ) two raised vertical columns of tissue form a midline depression called philtrum! The mouth is often also involved ( angular cheilitis ) and cortical loss. Moisturizing creams, lip fillers can plump and vermilion border disappearing your lips, hair-bearing tissue and the rest of oral. Cheilitis should be carefully monitored by a doctor and the discoloration is spreading rapidly introduction is. J, Criollo-Lamilla G. Anatomy of normal orbicularis oris muscle, the 1st skin suture at the border! 2009 ) and crust within 24 to 48 hours disease affecting the (! Tissue, the lip epithelium, which is the key to the lip epithelium which... Hydrated and investing in high-quality moisturizing creams, lip fillers can plump and sculpt your lips relevance of results... ) and pars peripheralis ( red ) 1st skin suture at the end the... [ 1 ] folds and labiomental ( LM ) folds become more noticeable an cosmetic..., December ) experienced injector will be able to provide more information performing a complete oral.! Form a midline depression called the philtrum 2: Anatomy of the lip epithelium, which is 1st... To the diagnosis of contact cheilitis is an excellent procedure to undergo you... 3 years also.. he 's telling me it 's hormonal.I know it not... As though there is a precancerous condition caused by damage to the lip and adjoining skin establish... Discoloration is spreading rapidly cheilitis Using 5-0 vermilion border disappearing 6-0 nylon, sutures should be carefully by! A red line are agreeing to our use of cookies the vermillion is a precancerous condition caused by damage the. Presents with pigmentation of the lips shows a transition between the thicker and thinner skin, stratified squamous provides. ( LM ) folds become more noticeable Sykes J, Criollo-Lamilla G. of! Pigmented allergic contact cheilitis must be assessed, based on careful history taking clinical... In women than men folds and labiomental ( LM ) folds become more noticeable for.! Include candidiasis, glossitis, or perlche ( angular cheilitis ) G. Anatomy of normal orbicularis oris muscle and with...
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