Hello,

Thanks for writing.

I understand you concern. Please provide the following detaims, so that I can guide you better.

- History of tobacco/pan chewing
- History of alcohol consumption/smoking
- History of betel nut chewing

Do you experience any of the following?

1. Difficulty in opening mouth?
2. Difficulty in swallowing food?
3. Burning sensation in mouth while eating hot /spicy foods?

Have you done biopsy of the lesion?

I would be able to comment on your problem once i receive these details. please do attach a picture of your lesion. You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.

Regards

dr XXXXXXX

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Hi,

Thanks for writing again.

As per the details produced, the lesion can be precancerous type, that is oral sub-mucous fibrosis arising from the oral cavity, oropharynx, nasopharynx and esophagus. But, before coming into a conclusion, you will need to consult a dentist to thoroughly examine the lesion.

The causes could be-

1.excessive consumption of red chillies.
2.excessive 'areca-nut' chewing.
3.nutritional deficiency
4.immunological factors
5.genetic factors
6.protracted tobacco use
7.patients with deficiency of micro-nutrients.

Clinically the features observed could be -
1.burning sensations in the mouth particularly during hot and spicy foods.
2.excessive or decreased salivation.
3.gradual stiffening of oral mucosa.
4.palpation of mucosa elicits a 'wet-leathery' feeling.
5.in the advanced stage,the oral mucosa losses its resiliency and becomes blanched and stiff and thereby cause trismus.
6.the lesion causes an opaque (white marble-like) appearance of the mucosa, on which there may be occasional presence of leukoplakic or erythroplakic patches.
7.palpation of mucosa often reveals many vertical fibrous bands.
8.difficulty in degluttition.
9.referred pain in the ear or deafness
10.nasal intonation of voice

treatment-
1.stoppage of all habits
2.grinding and rounding of sharp cuspal edge of teeth
3.routine extraction of all third molars
4.intralesional injection of collaginase/corticosteroids and fibrinolysins
5.systemic administration of steroids in severe cases.
6.biopsy is mandatory before treatment .

Hope this suffices .

Please do visit an oral pathologist for further treatment procedures.

Please feel free to ask if any doubts or else kindly close the discussion and rate the answer.

Thanks

DR XXXXXXX XXXXXXX

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