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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Swelling,pain And Infiltration In Upper Lip?

Dear Dr. Prasad: 7 months ago I collapsed in the bathroom, got my upper lip cleft (25-30 cm long laceration; quite deep, not protruding). I was brought to the nearest emergency unit, the surgeon in charge closed the wound with a tissue adhesive. Twice during this I felt drop inside the wound. About 2 months later on a foreign body of 0.7x0,8 cm was diagnosed by ultrasound, operation appointed in a famous international (Japanese) hospital where the Bulgarian plastic surgeon extracted one of the 2 CA adhesive drops, neglecting the other and also leaving a lot of absorbable stiches inside and outside the lip. The symptoms decreased to a half (supposedly because of the half volume of the FB), but in the next 10 days the stiches started to bother me much; another plastic surgeon urgently removed several and not all of them under local anesthesia (the first doctor told me he had done all what necessary). A month and a half ago I underwent another operation under general anesthesia again at an also respectable hospital; this time the plastic surgeon took out the second drop of adhesive and a couple of absorbable stiches left in by the previous doctor. Unfortunately, he also had to stich by layers so I have stiches inside the lip that I cannot absorb. 20 days after the operation the surgeon had to evacuate the infiltration around the stiches left inside because of the pain and swelling around it I had. Currently my upper lip is swollen a bit, painful at nights and at movements and there is infiltration, almost no improvement. I really feel as if I am at the beginning of the story, very little progress - at least no terrible feeling of cyanoacrylate drops inside - against high mental and physical distress and substantial budgeting. I am really despaired. As you may probably guess I am a medical doctor too and for 14 years am employed by a pharmaceutical company. You may also know what busy field this is and how the debilitating conditions impact human faculties. Thank you for hearing my story during the last 7 months, it may sound unbelievable. As neighbor-Greeks say, iatrogenia. I also can declare, I am not a hypochondriac. Thank you a lot, Waiting for your respected opinion and advice, Yuri Yordanov, M.D.
Thu, 14 Aug 2014
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Dentist 's  Response
Hi,
Thanks for posting the query,

I would suggest you to consult the concerned oral surgeon and get the checkup done, also take a course of multivitamin suplements , antioxidants.
For pain relief you can take tab Brufen BD for 3-5 days.


Take care!
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What Is The Treatment For Swelling,pain And Infiltration In Upper Lip?

Hi, Thanks for posting the query, I would suggest you to consult the concerned oral surgeon and get the checkup done, also take a course of multivitamin suplements , antioxidants. For pain relief you can take tab Brufen BD for 3-5 days. Take care!