Aetiopathology of ulcers of oral cavity and oropharynx: a cross sectional study

Thimmappa T. D., Ramesh S, Hamsa S. Shetty, Gangadhara K. S.

Abstract


Background: Oral ulcers are common diseases for which patient seeks medical advice. Till date the clinical profile to diagnose the oral ulcers, management and risk of malignancy 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 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 years 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.

 


Keywords


Aetiopathology,oral ulcers, Non Specific ulcers, Specific ulcers

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References


Fazzi M, Vescovi P, Savi A, Manfredi M, Peracchia M. The effects of drugs on the oral cavity. Minerva Stomatologica 1999;48(10):485-92.

Tyldesley, Anne Field, Lesley Longman in collaboration with William R. (2003). Tyldesley's Oral medicine (5th ed.). Oxford: Oxford University Press. pp. 7-8, 25, 35, 41, 43-44, 51-56.

Banoczy J. Follow up studies in oral leukoplakia. J Maxillofacial Surgery 1977;5:69-75.

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

Micheal A. William MD. Bronx, N Y – Head and neck findings in paediatric acquired immune deficiency syndrome Laryngoscope – 97June 1987 P-(713-716).

Lucente F E: Otolarygologic aspects of acquired immunodeficiency syndrome Med. Clin North America 75 (1389-1398) (1991)

Burket L W Bright man V.J. White lesions. In lynch M.A.ed. Burket’s oral medicine. Philadelphia 1977 J.B. Lippincott.Co P (66-69).

Cawson RA. & Lencer.T(1968)chr.Hyperplastic candidiasis-candidial leukoplakia-Br Jr. of Dermatology 80-(9-16).

Antoon J W and Miller R L 1980 Aphthous ulcers, - A review literature on aetiology, pathogenesis, diagnosis and treatment. Jr. American dental association 101:803-808.

DE wit.S.Weerts.D. Goosen H and Cluneek N(1989) comparison of flucanazole and ketocanozole for oropharyngeal candidiasis in AIDS. Lancet. 1, 746-748.

Jacobson JM Greenspan JS Thalidomide for treatment of oral aphthous ulcers in Pt’s with HIV. N.engl.J.med 1997: 336 1487-93.

James.W.Little-“Refractory candidiasis” oral medicine 46: (776-780) Dec. 1978.

Dhingra P.L. diseases of ENT II ed. B.I.Churehill and Livingstone-1998-P(257-258) Diagnosis of ulcers and membranous lesions of throat.

Droulias C and White Hurst J O(1967) The lymphatics of the tongue in relation to cancer Am.jr. of surgery 42:670-674.

Dull.J.S.Sen P: Ruffanti.S.and Middleton JR(1991) oral candidiasis as a market of acute retroviral illness Southern medical Jr.84:733-735.

Epstein.J.B.The Painful mouth, mucositis, gingivitis, stomatitis, infec Dis clin North Am 1988;2:183-200.

Greenberg MS. Ulcerative, vesicular and bullous lesions Lynch M.A.Burkits oral medicine Philadelphia 1977. J B Lippin Cott-Co.P(3-65).

Greenspan D, Greenspan J.S. and Pindberg J.(1990)AIDS and the mouth Diagnosis and management of oral lesions.

John S. Greenspan-“ Classification of oral ulcerative lesions” Harrison principles of internal medicine. Vol-I no.I 14th Ed. P-186 Table 31-13.4 & 6.