Lip Lesions And Terms & Concepts

Question 1

Uncommon chronic inflammation of minor salivary glands on lip, lower lip hypertrophy and inflammation, mucupurulent secretions. Sometimes erosion and ulcer

Answer 1

Cheilitis Glandularis

Question 2

Tx for cheilitis glandularis

Answer 2

Vermillionectomy

Question 3

Rare chronic disorder of lip with non-Caseating granulomatous inflammation

Answer 3

Cheilitis Granulimatosa

Question 4

Painless persistent swelling of one or both lips, small vesicles, ulcers and erosions. Monosymptomatic form of Melkersson-Rosenthal syndrome

Answer 4

Cheilitis Granulomatosa

Question 5

Traid of Cheilitis Granulomatosa, facial paralysis, fissured tongue

Answer 5

Melkersson-Rosenthal syndrome

Question 6

Chronic inflammation of lips, scaling, crusting and erythema of vermillion border of lips

Answer 6

Exfoliative Cheilitis

Question 7

Excessive production and subsequent desquamation of superficial keratin, tx topical steroids and topical ointment of tacrolimus

Answer 7

Exfoliative Cheilitis

Question 8

Chronic dryness, scaling, fissuring or cracking of vermillion border due to allergens

Answer 8

Contact Cheilitis

Question 9

Premalignant, white middle aged men, long term exposure to sun causing chronic degenerative disorder of lip

Answer 9

Actinic Cheilitis

Question 10

Lip erythema, edema followed by dryness, fissuring of lower lip, blurring of margin, chronic ulveration

Answer 10

Actinic Cheilitis

Question 11

Inflammation surrounding facial orifices caused by use of potent topical corticosteroids, heavy cosmetics, UV light, heat and wind

Answer 11

Perioral dermatitis

Question 12

Persistent linear ulcer in upper or lower lip vermillion

Answer 12

Chronic lip fissure

Question 13

Exfoliative cytology used for diagnosis of

Answer 13

Candidiasis, herpes simplex virus

Question 14

Good diagnostic tool for neck masses

Answer 14

Fine needle aspiration

Question 15

Aspiration of intraosseous radiolucent lesion done to rule out

Answer 15

If lesion is vascular

Question 16

Whether lesion contains fluid or to actually aspirate cells for pathological diagnosis

Answer 16

Fine needle aspiration

Question 17

In Vesiculobullous disease biopsy

Answer 17

Perilesional tissue recommended

Question 18

Rate at which red blood cells settle in a tube of unclotted blood within one hour

Answer 18

ESR

Question 19

ESR in inflammation

Answer 19

High, inflammation increases fibrinogens which aggregates blood cells making it heavy

Question 20

Which salivary gland is most sensitive to radiation

Answer 20

Parotid

Question 21

Radiotherapy dose

Answer 21

2Gy daily for weekly exposure of 10Gy. For 6 to 7 weeks total if 60 to 70Gy

Question 22

Appears during 2nd week of radiotherapy, mucosa painful and patchy erythematous ulcerations

Answer 22

Mucositis, resolves after 2-3 weeks after completion of radiation

Question 23

During 2nd or 3rd week of radiotherapy

Answer 23

Hypogeusia/ loss of taste, takes 4 months to heal and sometimes permanent

Question 24

Test for level of saliva

Answer 24

MST test

Question 25

Hypocellularity, hypovascularity and ischemia of jaw

Answer 25

Osteoradionecrosis

Question 26

Risk of ORN is greater in

Answer 26

Posterior mandible, radiation doses excess of 60Gy and have undergone traumatic procedure

Question 27

Exposed bone that fails to heal and persists longer than 3 months after high dose radiation to the jaw

Answer 27

Osteoradionecrosis

Question 28

Pain, cortical perforation, fistula formation, surface ulceration and pathologic fracture

Answer 28

Osteoradionecrosis

Question 29

Antibiotics, debridement, irrigation, removal of diseased bone, resection and immediate reconstruction

Answer 29

Osteoradionecrosis

Question 30

Extraction should be done before initiation of radiation therapy

Answer 30

3 weeks before

Question 31

For chemotherapy exo should be done

Answer 31

Atleast 5 days for maxilla and 7 days in mandible before starting

Question 32

Transfuse if platelet count is

Answer 32

<50,000/mm3

Question 33

Delay exo if WBC and neutrophils count

Answer 33

WBC <2000
Neutrophils <1000