Caliber persistent labial artery (CPLA): A rarely recognized cause of a lower lip swelling. Report of 5 cases and review of the literature
Abstract Caliber persistent labial artery (CPLA) is a vascular anomaly of the labial artery which penetrates into submucosa of the lip without reduction in diameter. It commonly presents as a bluish or normal color elevated soft tissue mass and usually pulsates on manual palpation. Five patients age...
Saved in:
Published in | Journal of oral and maxillofacial surgery Vol. 74; no. 7; pp. 1391 - 1395 |
---|---|
Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.07.2016
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Abstract Caliber persistent labial artery (CPLA) is a vascular anomaly of the labial artery which penetrates into submucosa of the lip without reduction in diameter. It commonly presents as a bluish or normal color elevated soft tissue mass and usually pulsates on manual palpation. Five patients aged between 28 and 88 years old presenting with discrete lesions of the lower lip are presented. All cases were treated with excision biopsy. Persistence of the lesion following excision was seen in only 1 case and in another single case a patient complained of persistent paresthesia at the surgical site on review at 7 months post-biopsy. All cases were diagnosed clinically as either mucocele or squamous cell carcinoma (if associated with ulceration). Excisional biopsies showed a prominent muscular vessel in the stroma which was associated with ulceration in two cases. CPLA carries the risk of profuse bleeding if the artery is transectioned during biopsy. In the cases presented here, hemostasis was achieved by either application of surgical diathermy or ligation with deep sutures at the wound area. Correct clinical recognition of CPLA may have eliminated the need for biopsy in some cases which may have spared the risk of hemorrhage from the procedure. CPLA should be considered in the differential diagnosis of any raised soft tissue lesion affecting the lip. Careful inspection with palpation for pulse during clinical examination should permit clinical diagnosis and may prevent unnecessary surgical treatment or prepare the operator for possibility of hemorrhage during surgery. Pathologists can be alerted to the possibility of CPLAwhere an isolated muscular vessel is encountered in a lip biopsy. |
---|---|
AbstractList | Caliber-persistent labial artery (CPLA) is a vascular anomaly of the labial artery that penetrates into the submucosa of the lip without reduction in diameter. It commonly presents as a bluish or normal-colored elevated mass and usually pulsates on manual palpation. It can resemble a mucocele or squamous cell carcinoma if surface ulceration presented. CPLA carries the risk of profuse bleeding if the artery undergoes transection during biopsy.
Five patients aged between 28 and 88 years presented with discrete lesions of the lower lip. All cases were diagnosed clinically as either mucocele or squamous cell carcinoma and were treated with excisional biopsy.
The specimens showed a prominent muscular vessel in the stroma that was associated with ulceration in 2 cases. Hemostasis was achieved by either application of surgical diathermy or ligation with deep sutures at the wound area. Persistence of the lesion after excision was seen in only 1 case, another single case the patient complained of persistent paresthesia at the surgical site at 7 months review after biopsy.
CPLA should be considered in the differential diagnosis of any raised soft tissue lesion affecting the lip. Careful inspection with palpation for pulse during clinical examination should permit an accurate clinical diagnosis and may prevent unnecessary surgical treatment or prepare the operator for the possibility of hemorrhage during surgery. Pathologists can be alerted to the possibility of CPLA where an isolated muscular vessel is encountered during lip biopsy. BACKGROUNDCaliber-persistent labial artery (CPLA) is a vascular anomaly of the labial artery that penetrates into the submucosa of the lip without reduction in diameter. It commonly presents as a bluish or normal-colored elevated mass and usually pulsates on manual palpation. It can resemble a mucocele or squamous cell carcinoma if surface ulceration presented. CPLA carries the risk of profuse bleeding if the artery undergoes transection during biopsy.METHODOLOGYFive patients aged between 28 and 88 years presented with discrete lesions of the lower lip. All cases were diagnosed clinically as either mucocele or squamous cell carcinoma and were treated with excisional biopsy.RESULTSThe specimens showed a prominent muscular vessel in the stroma that was associated with ulceration in 2 cases. Hemostasis was achieved by either application of surgical diathermy or ligation with deep sutures at the wound area. Persistence of the lesion after excision was seen in only 1 case, another single case the patient complained of persistent paresthesia at the surgical site at 7 months review after biopsy.CONCLUSIONCPLA should be considered in the differential diagnosis of any raised soft tissue lesion affecting the lip. Careful inspection with palpation for pulse during clinical examination should permit an accurate clinical diagnosis and may prevent unnecessary surgical treatment or prepare the operator for the possibility of hemorrhage during surgery. Pathologists can be alerted to the possibility of CPLA where an isolated muscular vessel is encountered during lip biopsy. Abstract Caliber persistent labial artery (CPLA) is a vascular anomaly of the labial artery which penetrates into submucosa of the lip without reduction in diameter. It commonly presents as a bluish or normal color elevated soft tissue mass and usually pulsates on manual palpation. Five patients aged between 28 and 88 years old presenting with discrete lesions of the lower lip are presented. All cases were treated with excision biopsy. Persistence of the lesion following excision was seen in only 1 case and in another single case a patient complained of persistent paresthesia at the surgical site on review at 7 months post-biopsy. All cases were diagnosed clinically as either mucocele or squamous cell carcinoma (if associated with ulceration). Excisional biopsies showed a prominent muscular vessel in the stroma which was associated with ulceration in two cases. CPLA carries the risk of profuse bleeding if the artery is transectioned during biopsy. In the cases presented here, hemostasis was achieved by either application of surgical diathermy or ligation with deep sutures at the wound area. Correct clinical recognition of CPLA may have eliminated the need for biopsy in some cases which may have spared the risk of hemorrhage from the procedure. CPLA should be considered in the differential diagnosis of any raised soft tissue lesion affecting the lip. Careful inspection with palpation for pulse during clinical examination should permit clinical diagnosis and may prevent unnecessary surgical treatment or prepare the operator for possibility of hemorrhage during surgery. Pathologists can be alerted to the possibility of CPLAwhere an isolated muscular vessel is encountered in a lip biopsy. |
Author | Mclin, S Awni Conn, B., FRCPath |
Author_xml | – sequence: 1 fullname: Mclin, S Awni – sequence: 2 fullname: Conn, B., FRCPath |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26868184$$D View this record in MEDLINE/PubMed |
BookMark | eNp9Ustu1DAUtVARnRZ-gAXysiwSfJ1xHgghjUa8pJGKeKwtx74pDp442Amj4RP61TiawqKLSleyZZ9z7HvOvSBngx-QkOfAcmBQvurz3u9jztM-Z5BKPCIrEAVkgonijKwYr-qMFw2ck4sYe8YARFU-Iee8rMsa6vWK3G6Vsy0GOmKINk44TNSp1ipHVZgwHOnV9vNu8_I13dCgArojDaj9zWD_oKFazRGp76iizh-SirMjjQd0zg43Of2Cow_Tci8SNGKkajCJ_9viYTmdfmBipFfUNAd8Sh53ykV8drdeku_v333bfsx21x8-bTe7TK8BpsxAoYXhXVuBKrquRcH4WrUcSg0GxZpprI3RRmhkJStUxVndFUawulEda6C4JFcn3TH4XzPGSe5t1OnPakA_Rwl1Moo3TVMmKD9BdfAxBuzkGOxehaMEJpcMZC-XDOSSgWSQSiTSizv9ud2j-U_5Z3oCvDkBMHWZvAgyaouDRmOTt5M03j6s__YeXSe7rVbuJx4x9n4OQ_JPgoxcMvl1mYJlCKBMfbFKFH8Bqyyvew |
CitedBy_id | crossref_primary_10_1097_DSS_0000000000002204 crossref_primary_10_1007_s00105_021_04787_4 crossref_primary_10_1016_j_fdj_2016_09_002 crossref_primary_10_1016_j_jormas_2019_10_006 crossref_primary_10_20986_recom_2023_1450_2023 crossref_primary_10_1590_0103_6440202003058 |
Cites_doi | 10.1016/j.ijom.2010.05.003 10.1016/0030-4220(92)90357-V 10.1111/j.1600-0714.1980.tb00370.x 10.1097/SCS.0b013e31816aaad4 10.1007/s12663-014-0740-7 10.7863/jum.2005.24.9.1295 10.5858/2006-130-223-AYMWFG 10.1111/j.1365-2230.2006.02126.x 10.1590/S1806-83242007000100007 10.1111/j.1440-0960.2010.00718.x 10.1016/S1079-2104(98)90177-9 10.1111/j.1365-4632.2009.04079.x |
ContentType | Journal Article |
Copyright | American Association of Oral and Maxillofacial Surgeons 2016 American Association of Oral and Maxillofacial Surgeons Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
Copyright_xml | – notice: American Association of Oral and Maxillofacial Surgeons – notice: 2016 American Association of Oral and Maxillofacial Surgeons – notice: Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1016/j.joms.2016.01.015 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Dentistry |
EISSN | 1531-5053 |
EndPage | 1395 |
ExternalDocumentID | 10_1016_j_joms_2016_01_015 26868184 S0278239116001075 1_s2_0_S0278239116001075 |
Genre | Journal Article Review Case Reports |
GroupedDBID | --- --K .1- .55 .FO 0R~ 1B1 1CY 1P~ 1RT 1~5 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 AAEDT AAEDW AAGKA AALRI AAQFI AAQQT AAQXK AAXUO ABLJU ABMAC ABOCM ACGFS ADBBV ADMUD ADPAM AENEX AEVXI AFCTW AFFNX AFJKZ AFRHN AFTJW AHHHB AITUG AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMRAJ ASPBG AVWKF AZFZN BELOY CAG COF CS3 DU5 EBS EJD EO8 F5P FDB FEDTE FGOYB FIRID G-2 G-Q GBLVA HDX HMK HMO HVGLF HZ~ IHE J1W K-O L7B M41 N4W N9A NQ- O9- OF. OQ0 P2P R2- RIG ROL RPZ SAE SDG SDP SEL SES SEW SJN SSZ UHS UV1 X7M XH2 Z5R ZGI ZXP AAIAV AGZHU AHPSJ ALXNB CGR CUY CVF ECM EIF NPM AAYXX ACRPL ADNMO CITATION 7X8 |
ID | FETCH-LOGICAL-c411t-d13c5d2fb71a3ffbe5024ab216c1de540ce8ddcd5ce0603a7208f3d5089af0913 |
ISSN | 0278-2391 |
IngestDate | Sat Aug 17 03:36:11 EDT 2024 Fri Dec 06 02:51:06 EST 2024 Sat Sep 28 07:57:14 EDT 2024 Fri Feb 23 02:33:16 EST 2024 Tue Oct 15 22:55:22 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 7 |
Language | English |
License | Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c411t-d13c5d2fb71a3ffbe5024ab216c1de540ce8ddcd5ce0603a7208f3d5089af0913 |
Notes | ObjectType-Case Study-3 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4 |
ORCID | 0000-0003-0938-8657 0000-0001-7847-9355 |
PMID | 26868184 |
PQID | 1800129996 |
PQPubID | 23479 |
PageCount | 5 |
ParticipantIDs | proquest_miscellaneous_1800129996 crossref_primary_10_1016_j_joms_2016_01_015 pubmed_primary_26868184 elsevier_sciencedirect_doi_10_1016_j_joms_2016_01_015 elsevier_clinicalkeyesjournals_1_s2_0_S0278239116001075 |
PublicationCentury | 2000 |
PublicationDate | 2016-07-01 |
PublicationDateYYYYMMDD | 2016-07-01 |
PublicationDate_xml | – month: 07 year: 2016 text: 2016-07-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Journal of oral and maxillofacial surgery |
PublicationTitleAlternate | J Oral Maxillofac Surg |
PublicationYear | 2016 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
References | Mikó, Adler, Endes (bib3) 1980; 9 Lovas, Rodu, Hammond (bib4) 1998; 86 Al-Hoqail, Mequid (bib1) 2008; 19 Vazquez, Lombardi, Guinand-Mkinsi, Samson (bib11) 2005; 24 Rosdy, Firth, Rich (bib13) 2010; 39 Lewis (bib6) 2003; 93 Howell, Freeman (bib2) 1973; 107 Scudier, Cimbaluk, Jakate (bib8) 2006; 130 Santagata, Maglione, Colella, D'Amato (bib12) 2015; 14 Corrêa, Nunes, Johann (bib14) 2007; 21 Arellano, Antoniazzi, Wortsman (bib7) 2012; 53 Jaspers (bib9) 1992; 74 Wortsman, Calderon, Arellano, Orellana (bib10) 2009; 48 Kocyigit, Kocyigite, Akay (bib5) 2006; 31 Lovas (10.1016/j.joms.2016.01.015_bib4) 1998; 86 Santagata (10.1016/j.joms.2016.01.015_bib12) 2015; 14 Rosdy (10.1016/j.joms.2016.01.015_bib13) 2010; 39 Jaspers (10.1016/j.joms.2016.01.015_bib9) 1992; 74 Howell (10.1016/j.joms.2016.01.015_bib2) 1973; 107 Scudier (10.1016/j.joms.2016.01.015_bib8) 2006; 130 Kocyigit (10.1016/j.joms.2016.01.015_bib5) 2006; 31 Corrêa (10.1016/j.joms.2016.01.015_bib14) 2007; 21 Mikó (10.1016/j.joms.2016.01.015_bib3) 1980; 9 Wortsman (10.1016/j.joms.2016.01.015_bib10) 2009; 48 Al-Hoqail (10.1016/j.joms.2016.01.015_bib1) 2008; 19 Lewis (10.1016/j.joms.2016.01.015_bib6) 2003; 93 Vazquez (10.1016/j.joms.2016.01.015_bib11) 2005; 24 Arellano (10.1016/j.joms.2016.01.015_bib7) 2012; 53 |
References_xml | – volume: 74 start-page: 631 year: 1992 ident: bib9 article-title: Oral caliber-persistent artery. Unusual presentations of unusual lesions publication-title: Oral Surg Oral Med Oral Pathol contributor: fullname: Jaspers – volume: 31 start-page: 528 year: 2006 ident: bib5 article-title: Calibre persistent labial artery: Clinical features and noninvasive radiological diagnosis publication-title: Clin Exp Dermatol contributor: fullname: Akay – volume: 93 start-page: 37 year: 2003 ident: bib6 article-title: Caliber-persistent labial artery publication-title: J Okla Dent Assoc contributor: fullname: Lewis – volume: 48 start-page: 830 year: 2009 ident: bib10 article-title: High-resolution color Doppler ultrasound of a caliber-persistent artery of the lip, a simulator variant of dermatologic disease: Case report and sonographic findings publication-title: Int J Dermatol contributor: fullname: Orellana – volume: 53 start-page: e18 year: 2012 ident: bib7 article-title: Early diagnosis of calibre persistent labial artery in a child: Usefulness of ultrasonography publication-title: Australas J Dermatol contributor: fullname: Wortsman – volume: 86 start-page: 308 year: 1998 ident: bib4 article-title: Caliber-persistent labial artery: A common vascular anomaly publication-title: Oral Surg Oral Med Oral Pathol contributor: fullname: Hammond – volume: 9 start-page: 137 year: 1980 ident: bib3 article-title: Simulated cancer of the lower lip attributed to “caliber persistent” artery publication-title: J Oral Pathol contributor: fullname: Endes – volume: 130 start-page: 223 year: 2006 ident: bib8 article-title: A 74-year-old man with fatal gastrointestinal bleeding. Ruptured Dieulafoy lesion or caliber persistent artery publication-title: Arch Pathol Lab Med contributor: fullname: Jakate – volume: 39 start-page: 1230 year: 2010 ident: bib13 article-title: Calibre-persistent labial artery: Often misdiagnosed as a mucocoele publication-title: Int J Oral Maxillofac Surg contributor: fullname: Rich – volume: 14 start-page: 845 year: 2015 ident: bib12 article-title: Calibre persistent labial artery: Clinical features and immunohistochemistry diagnosis publication-title: J Maxillofac Oral Surg contributor: fullname: D'Amato – volume: 24 start-page: 1295 year: 2005 ident: bib11 article-title: Ultrasonography: A noninvasive tool to diagnose a caliber-persistent labial artery, an enlarged artery of the lip publication-title: J Ultrasound Med contributor: fullname: Samson – volume: 19 start-page: 785 year: 2008 ident: bib1 article-title: Anatomic dissection of the arterial supply of the lips: An anatomical and analytical approach publication-title: J Craniofac Surg contributor: fullname: Mequid – volume: 107 start-page: 386 year: 1973 ident: bib2 article-title: Prominent inferior labial artery publication-title: Arch Dermatol contributor: fullname: Freeman – volume: 21 start-page: 40 year: 2007 ident: bib14 article-title: Prevalence of oral hemangioma. Vascular malformation and varix in a Brazilian population publication-title: Braz Oral Res contributor: fullname: Johann – volume: 107 start-page: 386 year: 1973 ident: 10.1016/j.joms.2016.01.015_bib2 article-title: Prominent inferior labial artery publication-title: Arch Dermatol contributor: fullname: Howell – volume: 39 start-page: 1230 year: 2010 ident: 10.1016/j.joms.2016.01.015_bib13 article-title: Calibre-persistent labial artery: Often misdiagnosed as a mucocoele publication-title: Int J Oral Maxillofac Surg doi: 10.1016/j.ijom.2010.05.003 contributor: fullname: Rosdy – volume: 74 start-page: 631 year: 1992 ident: 10.1016/j.joms.2016.01.015_bib9 article-title: Oral caliber-persistent artery. Unusual presentations of unusual lesions publication-title: Oral Surg Oral Med Oral Pathol doi: 10.1016/0030-4220(92)90357-V contributor: fullname: Jaspers – volume: 9 start-page: 137 year: 1980 ident: 10.1016/j.joms.2016.01.015_bib3 article-title: Simulated cancer of the lower lip attributed to “caliber persistent” artery publication-title: J Oral Pathol doi: 10.1111/j.1600-0714.1980.tb00370.x contributor: fullname: Mikó – volume: 19 start-page: 785 year: 2008 ident: 10.1016/j.joms.2016.01.015_bib1 article-title: Anatomic dissection of the arterial supply of the lips: An anatomical and analytical approach publication-title: J Craniofac Surg doi: 10.1097/SCS.0b013e31816aaad4 contributor: fullname: Al-Hoqail – volume: 14 start-page: 845 year: 2015 ident: 10.1016/j.joms.2016.01.015_bib12 article-title: Calibre persistent labial artery: Clinical features and immunohistochemistry diagnosis publication-title: J Maxillofac Oral Surg doi: 10.1007/s12663-014-0740-7 contributor: fullname: Santagata – volume: 24 start-page: 1295 year: 2005 ident: 10.1016/j.joms.2016.01.015_bib11 article-title: Ultrasonography: A noninvasive tool to diagnose a caliber-persistent labial artery, an enlarged artery of the lip publication-title: J Ultrasound Med doi: 10.7863/jum.2005.24.9.1295 contributor: fullname: Vazquez – volume: 130 start-page: 223 year: 2006 ident: 10.1016/j.joms.2016.01.015_bib8 article-title: A 74-year-old man with fatal gastrointestinal bleeding. Ruptured Dieulafoy lesion or caliber persistent artery publication-title: Arch Pathol Lab Med doi: 10.5858/2006-130-223-AYMWFG contributor: fullname: Scudier – volume: 31 start-page: 528 year: 2006 ident: 10.1016/j.joms.2016.01.015_bib5 article-title: Calibre persistent labial artery: Clinical features and noninvasive radiological diagnosis publication-title: Clin Exp Dermatol doi: 10.1111/j.1365-2230.2006.02126.x contributor: fullname: Kocyigit – volume: 21 start-page: 40 year: 2007 ident: 10.1016/j.joms.2016.01.015_bib14 article-title: Prevalence of oral hemangioma. Vascular malformation and varix in a Brazilian population publication-title: Braz Oral Res doi: 10.1590/S1806-83242007000100007 contributor: fullname: Corrêa – volume: 93 start-page: 37 year: 2003 ident: 10.1016/j.joms.2016.01.015_bib6 article-title: Caliber-persistent labial artery publication-title: J Okla Dent Assoc contributor: fullname: Lewis – volume: 53 start-page: e18 year: 2012 ident: 10.1016/j.joms.2016.01.015_bib7 article-title: Early diagnosis of calibre persistent labial artery in a child: Usefulness of ultrasonography publication-title: Australas J Dermatol doi: 10.1111/j.1440-0960.2010.00718.x contributor: fullname: Arellano – volume: 86 start-page: 308 year: 1998 ident: 10.1016/j.joms.2016.01.015_bib4 article-title: Caliber-persistent labial artery: A common vascular anomaly publication-title: Oral Surg Oral Med Oral Pathol doi: 10.1016/S1079-2104(98)90177-9 contributor: fullname: Lovas – volume: 48 start-page: 830 year: 2009 ident: 10.1016/j.joms.2016.01.015_bib10 article-title: High-resolution color Doppler ultrasound of a caliber-persistent artery of the lip, a simulator variant of dermatologic disease: Case report and sonographic findings publication-title: Int J Dermatol doi: 10.1111/j.1365-4632.2009.04079.x contributor: fullname: Wortsman |
SSID | ssj0011576 |
Score | 2.2305188 |
SecondaryResourceType | review_article |
Snippet | Abstract Caliber persistent labial artery (CPLA) is a vascular anomaly of the labial artery which penetrates into submucosa of the lip without reduction in... Caliber-persistent labial artery (CPLA) is a vascular anomaly of the labial artery that penetrates into the submucosa of the lip without reduction in diameter.... BACKGROUNDCaliber-persistent labial artery (CPLA) is a vascular anomaly of the labial artery that penetrates into the submucosa of the lip without reduction in... |
SourceID | proquest crossref pubmed elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 1391 |
SubjectTerms | Adult Aged Aged, 80 and over Biopsy Dentistry Diagnosis, Differential Humans Lip - abnormalities Lip - blood supply Lip Diseases - diagnosis Lip Diseases - surgery Middle Aged Surgery Vascular Malformations - diagnosis Vascular Malformations - surgery |
Title | Caliber persistent labial artery (CPLA): A rarely recognized cause of a lower lip swelling. Report of 5 cases and review of the literature |
URI | https://www.clinicalkey.es/playcontent/1-s2.0-S0278239116001075 https://dx.doi.org/10.1016/j.joms.2016.01.015 https://www.ncbi.nlm.nih.gov/pubmed/26868184 https://search.proquest.com/docview/1800129996 |
Volume | 74 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFLage4AXxH3lJiPxAIoyxbk2vJWyaaKApl3E3izHsUWrLJmWVMB-Ar-ac-xcxkYRTKqiKnGctN8X5zvHPucQ8soTeeBJ5btelmoXc0q5WQxc9sIkEEqrMA0xGvnT53j3KPxwHB0PPl0TXdJkW_L8j3El10EV9gGuGCX7H8j2ncIO-A74whYQhu0_YYyBVZk6w9zDNcJVNg6Aij5ws1LTTOTP9j5Owdy3EehgGavih9OuGjoHsSnFynrzhVNgwTSnWJw6NXr0sKJCq8_xeARNa2UzOg_xLihbiz4z8xqla5IA4Hkn4vuiKCotjJ--vhCRbTyDbe34A2f6rVz0kyOVVdjvzDC2sz_bE83Xi74KFvfrWrshzQeb1Q9sfa4rg7f1Iyy3ltUJJlJnsUmoaqM9f8-UvT2bM7f2tzz3ALvEHhkqNy-51NjaObz2ucevNL1JNjB9YjgiG9P5_pd5P_vEIlOUsL_bNtjKrgu8fHfrBM06g8UIl8O75E6LA51a-twjN1R5n9x6j6vEsNDfA_KzpREdaEQtjailEX2NJHrzlk6pJRAdCEQNgWilqaCGQBQIRHsCUUsgPB5RQyAKRKCWQLgXCEQHAj0kRzvbh7Ndty3R4cqQscbNWSCj3NdZwkSgdaYi0Hwi81ksWa7AGpBqkucyj6TyYi8Qie9NdJCDVZAKjSlpH5FRWZVqk1CV55lMYq19GcNbJU-jHIzZKM1kpGUiojFxuv-Zn9pMLLxborjkiApHVLjH4AOtkw4K3sUYw1tR1e3jW_N1rBiTqD-zVaFWXXLg6V-v-LJDnMMQjfNuolTVCq40Me7eNI3H5LGlQv8L_HgSg2YOn1z7fp-S28Oj9oyMmrOVeg5CucletLz-BTJyu2I |
link.rule.ids | 314,780,784,27924,27925 |
linkProvider | Library Specific Holdings |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Caliber+persistent+labial+artery+%28CPLA%29%3A+A+rarely+recognized+cause+of+a+lower+lip+swelling.+Report+of+5+cases+and+review+of+the+literature&rft.jtitle=Journal+of+oral+and+maxillofacial+surgery&rft.au=Mclin%2C+S+Awni&rft.au=Conn%2C+B.%2C+FRCPath&rft.date=2016-07-01&rft.issn=0278-2391&rft_id=info:doi/10.1016%2Fj.joms.2016.01.015&rft.externalDBID=ECK1-s2.0-S0278239116001075&rft.externalDocID=1_s2_0_S0278239116001075 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0278-2391&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0278-2391&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0278-2391&client=summon |