The patient is Ms. D.T.U (56 years old, Thoi Lai district, Can Tho city). About 3 months earlier, the patient had a traffic accident and had her wound stitched at a local hospital. After that, the patient noticed that her upper lip was deformed, swollen, and felt uncomfortable when chewing. She took medication many times but the symptoms did not improve.
In December 2024, the patient went to Hoan My Cuu Long Hospital for examination and treatment. Through examination, the doctor found that the patient had a hard fibrous mass in the upper lip, edema, contracted scars in the upper lip philtrum, and two broken central incisors.
After performing the necessary paraclinical tests, the patient was diagnosed with upper lip foreign body with contracture scar.
The doctors successfully removed the foreign body, which was many broken tooth fragments, from the patient's upper lip and corrected the lip scar by rotating the skin flaps in place. The patient was then monitored post-operatively and discharged from the hospital.
Master, Doctor Vo Hong Phuc - Plastic Surgery Specialist, Hoan My Cuu Long Hospital - said that in this case, because the foreign object is small, consisting of many pieces, located in soft tissue, determining the number and location of the foreign object pieces is important. The foreign object can move due to the patient's mouth opening, swallowing, coughing, and neck flexion, and can penetrate deeper into dangerous locations.
Through this case, Dr. Phuc recommends that patients with traffic accident wounds need to be treated, cleaned, and foreign objects removed to prevent infection. Patients need to monitor the progress of the scar at specialized cosmetic clinics to treat early when encountering keloid scars, concave scars, and contracted scars.
In 2024, Hoan My Cuu Long Hospital received and successfully treated more than 1,000 cases related to cosmetic surgery and skin aesthetics. Many cases came for examination and treatment when they had complications after rhinoplasty, bad scar correction, skin necrosis after liposuction...
