Lip Lesions And Terms & Concepts Flashcards
Uncommon chronic inflammation of minor salivary glands on lip, lower lip hypertrophy and inflammation, mucupurulent secretions. Sometimes erosion and ulcer
Cheilitis Glandularis
Tx for cheilitis glandularis
Vermillionectomy
Rare chronic disorder of lip with non-Caseating granulomatous inflammation
Cheilitis Granulimatosa
Painless persistent swelling of one or both lips, small vesicles, ulcers and erosions. Monosymptomatic form of Melkersson-Rosenthal syndrome
Cheilitis Granulomatosa
Traid of Cheilitis Granulomatosa, facial paralysis, fissured tongue
Melkersson-Rosenthal syndrome
Chronic inflammation of lips, scaling, crusting and erythema of vermillion border of lips
Exfoliative Cheilitis
Excessive production and subsequent desquamation of superficial keratin, tx topical steroids and topical ointment of tacrolimus
Exfoliative Cheilitis
Chronic dryness, scaling, fissuring or cracking of vermillion border due to allergens
Contact Cheilitis
Premalignant, white middle aged men, long term exposure to sun causing chronic degenerative disorder of lip
Actinic Cheilitis
Lip erythema, edema followed by dryness, fissuring of lower lip, blurring of margin, chronic ulveration
Actinic Cheilitis
Inflammation surrounding facial orifices caused by use of potent topical corticosteroids, heavy cosmetics, UV light, heat and wind
Perioral dermatitis
Persistent linear ulcer in upper or lower lip vermillion
Chronic lip fissure
Exfoliative cytology used for diagnosis of
Candidiasis, herpes simplex virus
Good diagnostic tool for neck masses
Fine needle aspiration
Aspiration of intraosseous radiolucent lesion done to rule out
If lesion is vascular
Whether lesion contains fluid or to actually aspirate cells for pathological diagnosis
Fine needle aspiration
In Vesiculobullous disease biopsy
Perilesional tissue recommended
Rate at which red blood cells settle in a tube of unclotted blood within one hour
ESR
ESR in inflammation
High, inflammation increases fibrinogens which aggregates blood cells making it heavy
Which salivary gland is most sensitive to radiation
Parotid
Radiotherapy dose
2Gy daily for weekly exposure of 10Gy. For 6 to 7 weeks total if 60 to 70Gy
Appears during 2nd week of radiotherapy, mucosa painful and patchy erythematous ulcerations
Mucositis, resolves after 2-3 weeks after completion of radiation
During 2nd or 3rd week of radiotherapy
Hypogeusia/ loss of taste, takes 4 months to heal and sometimes permanent
Test for level of saliva
MST test
Hypocellularity, hypovascularity and ischemia of jaw
Osteoradionecrosis
Risk of ORN is greater in
Posterior mandible, radiation doses excess of 60Gy and have undergone traumatic procedure
Exposed bone that fails to heal and persists longer than 3 months after high dose radiation to the jaw
Osteoradionecrosis
Pain, cortical perforation, fistula formation, surface ulceration and pathologic fracture
Osteoradionecrosis
Antibiotics, debridement, irrigation, removal of diseased bone, resection and immediate reconstruction
Osteoradionecrosis
Extraction should be done before initiation of radiation therapy
3 weeks before
For chemotherapy exo should be done
Atleast 5 days for maxilla and 7 days in mandible before starting
Transfuse if platelet count is
<50,000/mm3
Delay exo if WBC and neutrophils count
WBC <2000
Neutrophils <1000
