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Category: Volume 06 Issue 08 August 2018
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Title: A Study of Aetiopathology of Ulcers and Membranous Lesions of Oral Cavity and Oropharynx

Authors: Dr Sandeep Chahande, Dr Ajay Kumar Jain

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.165

Abstract

Ulcers and membranous lesions of oral cavity and oropharynx is a common complaint encountered in E.N.T OPD. Proper knowledge of aetiopathology of these lesions is necessary to treat the underlying pathology. Objective was to study etiology, incidence, duration, episodes, number, sex predilection and histopathological presentation of these lesions.

Method: The prospective study was carried out in 100 patients presented in department of ENT & Dermatology from February 2015 to August 2016 with complaints of ulcers/membranous lesions of oral cavity/oropharynx. After taking the detailed history of patients complete examination of ear, nose and throat was done. Investigations like biopsy and histopathological examination, and swab test for culture and sensitivity were also carried out for chronic lesions.

Result: out of 100 patients 80 patients had ulcers and 20 patients had membranous lesions. 56 patients had acute ulcers and 44 had chronic ulcers. Overall sex incidence ratio was 1:1. 52 cases had solitary lesions whereas 48 cases had multiple lesions. 65 cases out of 100 had first episode of lesions while 35 cases reported as recurrence. Out of 44 cases of chronic ulcers histopathological studies reported 13 cases were that of squamous cell carcinoma and 13 cases were of leukoplakia, 4 were lichen planus and candidiais each and 3 were of pemphigus vulgaris.

Conclusion: ulcers and membranous lesions may be present due to various underlying pathologies. So proper diagnosis, through detailed history, clinical examination and investigations are warranted to find out cause and initiating treatment.

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Corresponding Author

Dr Sandeep Chahande

Resident, Department of E.N.T., Gajra Raja Medical College, Gwalior, M.P. 474009, India

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