Purpose: A multitude of developmental anomalies has been reported in the head and neck, especially on the face; however, cases of upper lip sinuses and fistulas have hardly been reported. Method: A 10-year-old girl presented with a recurrently discharging upper lip sinus. After adequate presurgical workup, excision of the lesion resulted in a clinical cure. Result: Literature review suggests a number of theories for the origin of the upper lip sinus; however, none have proven to be conclusive. Conclusion: Upper lip sinus formations are rare developmental events, and the pathogenesis of these lesions still needs further evaluation.
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