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Evaluating the efficacy of primary excision and closure for the management of lip leukoderma and introducing the surgical site morbidity score as an effective tool for assessment of postoperative morbidity

Dermatologic Therapy Sep 29, 2020

Daruwalla SB, Dhurat RS, Agrawal S, et al. - Since the lips are considered to be of great importance for the perception of beauty and there is still a gap in the attempt to effectively re-pigment resistant areas of vitiligo, particularly the lips, researchers studied the effectiveness and cosmetic outcome following primary excision and closure in the management of lip vitiligo and evaluating postoperative morbidity using the created surgical site morbidity score (SSMS). For primary excision and closure of the vitiliginous area, 25 patients with vitiligo involving the inner margin of lower lips were reported. All patients displayed healthy lip mucosa within 7 days of the procedure and no recurrence was recorded at 24 months of follow up. With a mean score of P2H8C0, the postoperative morbidity based on the SSMS was minimal. Overall, the authors concluded that the primary technique of excision and closure is a safe and cheap modality with immediate results and excellent cosmetic results in the management of lip vitiligo.

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