A study on the clinical profile of ulcers and membranous lesions of oral cavity and oropharynx

Authors

  • T. D. Thimmappa Department of ENT, Shimoga Institute of Medical Sciences, Shimoga - 577201, Karnataka
  • Ramesh S Department of ENT, Shimoga Institute of Medical Sciences, Shimoga - 577201, Karnataka
  • Hamsa S. Shetty Department of ENT, Shimoga Institute of Medical Sciences, Shimoga - 577201, Karnataka
  • K. S. Gangadhara Department of ENT, Shimoga Institute of Medical Sciences, Shimoga - 577201, Karnataka

Keywords:

Clinical profile, Oral ulcers, Non-specific ulcers, Specific ulcers

Abstract

Background: An ulcer is a discontinuity of an epithelial surface. Many a times, patients with oral ulcers are treated sympathetically without even coming to a definitive conclusion of their problem. Oral ulcers are common diseases for which patient seeks medical advice. Till date the clinical profile to diagnose the oral ulcers, membranous lesions of oral cavity and oropharynx is not well established. Hence, the study has been taken up to investigate the aetiopathology of ulcers of oral cavity and oropharynx.

Methods: 60 cases of ulcers of oral cavity and oropharynx were included in the study. The aetiopathology of ulcers of oral cavity and oropharynx were investigated on the basis of age, sex, duration, etiological factors, symptom Index, socioeconomic status and anatomical distribution. Values are expressed as percentages.

Results: The highest incidence was found to be in low socioeconomic group, where there is lack of education, improper food habits, cultivation of bad habits in early childhood and negligence of the disease are the predisposing factors in most of the malignancies. The highest incidence was found in low socioeconomic status. The lesions studied in this study were 50% of non-specific ulcers (Short term (<3 wks) 20-67% and Long term (>3 wks) 10-33%), 15% of Aphthous ulcers, 8.3% of Traumatic Ulcers, 6.5% of Malignant ulcers, 6.5% of Dental ulcers, 3.2% of HIV infection & AIDS, 3.2% of ulcer due to T.B. and 6.5% of ulcers. The majority of the cases were between the age 21-30 yrs constituting 35% followed by 11-12 years constituting 26.6%.d 62% of the short term ulcers, Female 38%.

Conclusions: Low socioeconomic status, lack of education, bad oral hygiene, bad habits cultivated in early childhood is predisposing factors. Hence early diagnosis and prompt treatment is advised in all cases of ulcers.

 

References

Shafers W. G. Hine MK. Levy BM. Oral pathology. 4th ed. Philadelphia: W. B. saunders and Co.; 1984: 368-373.

William Boyd. C. C. A textbook of pathology. 8th ed. Philadelphia: Lea and Febige; 1998: 351.

Antoon J W, Miller R L. Aphthous ulcers, - A review literature on aetiology, pathogenesis, diagnosis and treatment. Jr. American dental association. 1980;101:803-8.

Barton RPE, Davey TF. Early leprosy of Nose and throat. J. Laryngol otol 1967;90:953-6.

Colby, Kerr, Robinson. Diseases of the oral mucosa and jaw, color atlas or oral pathology. 4th ed. Philadelphia: Lippincott, Williams & Wilkins; 1989: 191.

Cawson RA., Lencer.T. Chronic hyperplastic candidiasis-candidial leukoplakia-Br Jr. of Dermatology. 1968;80:9-16.

Binnie W. H., Rankin K. V. Epidemiological and diagnostic aspects of oral Squamous cell carcinoma Jr. of oral pathology. 1984;13:333-41.

Silverman S. Jr. AIDS update Oral findings, diagnosis and precautions Jr. American dental association. 1987;115:559-63.

Lehner R. W. Siebel fine structural findings in recurrent oral ulceration Br. Dent j. 1966;1(1):454-6.

Conner G. H. Idiopathic conditions of mouth and pharynx in blue stone CD stool SE, eds. Pediatric otolaryngology 2nd ed. Philadelphia: W. B. Saunders; 1990: 940-947.

Tohru Sauto, Chiliro Sugiura. Development of squamous cell carcinoma from pre-existing oral leukoplakia with respect to treatment modality. Jr. oral and maxilla-facial surgery. 2001;30:49-53.

Siegel MA. Balchinas BA. Kelly M. Serio FG. Diagnosis and management of commonly occurring oral vesiculo erosive disorders. Cutis 1991;47:39-43.

James. W. Little-“Refractory candidiasis” Oral Medicine. 1978;46:776-80.

Greenberg M S. Ulcerative, vesicular and bullous lesions. Oral Medicine. 4th ed. Philadelphia: J B Lippincott Co.; 1977: 3-65.

Laskaris G. Sklavounous A., Straligos J. Bullous pemphigoid, cicatrial pemphigoid and pemphigus vulgaris oral surgery. 1982;54:656-62.

Raksha M. Shah. oral pemphigus vulgaris clinic-pathological follow-up of 34 cases J. of oral medicine. 1983;38:170-3.

Pheton JA. Major Aphthous like ulcers in patients with AIDS. Oral surg oral med. Oral path. 1991;71:68-72.

William J Dichtel, Jr. M. D. Oral manifestations of HIV-Otolaryngology clinics of N.A. 2000;6:1217-26.

Downloads

Published

2017-01-20

How to Cite

Thimmappa, T. D., S, R., Shetty, H. S., & Gangadhara, K. S. (2017). A study on the clinical profile of ulcers and membranous lesions of oral cavity and oropharynx. International Journal of Research in Medical Sciences, 2(1), 180–185. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2097

Issue

Section

Original Research Articles