Recent onset trismus
These are red flags to suspect malignancy in Oral sub mucous fibrosis.
|Leukoplakia of tongue is very common in India because of rampant use of tobacco products and poor orodental hygiene. |
How do we treat Leukoplakia?
Leukoplakia is a potentially malignant Disorder
Other lesion is erythroleukoplakia, which is more sinister
Incidence off oral cancers is 50-100 times higher in Leukoplakia.
The progression is difficult to predict.
In whom and when cancer develops is unpredictable.
And how we do prevent progression of Leukoplakia to cancer?
•Smoking cessation • Moderation of alcohol use • Diet with adequate antioxidants • Improve oral hygiene I Trauma/ eliminate candida 'Surgical excision of high risk lesions • Surveillance • •
Grade of dysplaia is important
Anatomical location has prognosis value.
Ploidy analysis has prognosis value.
Since most of leukoplakia are asymptotic the intervention objective is to prevent malign transformation
The COCHRANE COLLABORATION is gold standard
Electronic cigarettes is not therapeutic option
To identity weekly alcohol abuse.
|Note thickened ear drum on both sides with normal middle ear and mastoid air cells.|
|HRCT Temporal bone-Axial cut. Double click to see whole CT.|
|Post traumatic hematoma and then perichondritis of pinna which was solely treated by oral antibiotics by general surgeon.|
|Thickened pinna as seen from behind in a case of post traumatic perichondritis.|
|Three incisions were given to drain the hematoma and infected material. two quilting sutures were given to keep the dead space minimum inside.|
|Same patient with non tender pinna after 2 weeks of surgical treatment coupled with antibiotics.|
|Same patient as above after surgical treatment. See the irregular surface persisting resulting in cauliflower deformity. Patient in pain free now.|