No abstract

Aim:The Present Study Was Undertaken To Study Various Ulcerative Lesions In Oral Cavity And oropharynx. Background: Oral cavity is one of the most common site for ulcerative lesions Specially in males. In our study it was found that benign and malignant lesions were common in males. Materials and Methods:In this prospective study, patients of ulcerative lesions of oral cavity and oropharynx belonging to age group of 10-80 years were selected. Data on the basis of age, sex, site of lesion, addiction habits were collected and analyzed. All patients were thoroughly examined and fully investigated. Biopsy was taken of chronic lesions and lesions not responding to treatment. The final diagnosis was made on the basis of histopathological examination. Results: A total of 176 patients were analyzed during the period of 18 months. Benign lesions were most common lesion accounting 60.22%. buccal mucosa was the most common site with 36.3% followed by tongue 14.52%. Males were more commonly involved than female in both benign and malignant lesions. Out of 70 patient of malignant lesions97.14% were squamous cell carcinoma followed by adenocarcinoma 2.86%. Tobacco chewing was the most common risk factor followed by smoking. Conclusion: Histopatholgical examination is necessary for confirmatory, diagnosis of ulcerative lesions and early management.

This prospective study was done to evaluate the effect of preoperative systemic corticosteroids on intraoperative bleeding during sinonasal polyposis surgery. Materials and Methods: A Total of 70 patients with age between 10-60 years were studied from the in-patient department. All the cases meeting the inclusion and exclusion criteria underwent Diagnostic Nasal endoscopy, CT scan and were divided into 2 groups of 35 each. Group A (35) received oral prednisolone 1mg/kg/day for 5 days prior to surgery and Group B (35) severed as control. The patients were operated under general anaesthesia, the bleeding volume and surgical field visibility was recorded. Postoperatively patients were followed up once weekly for 4 weeks. Results: Better surgical field conditions were the results of the powerful anti-inflammatory and antiedematous activity of the drug, which facilitated blood and secretion evacuation from the operated area providing a better surgical field visibility. Conclusion:In conclusion pre-operative administration of oral steroids reduces intra-operative bleeding and early post-operative complications.