A Clinical Study of Oral Mucosal Lesions in Patients Visiting a Tertiary Care Centre in Central India

Abstract

The aim of this study was to find the frequency of various oral mucosal lesions in relation to age, sex, site and associated addiction habits. This retrospective study was done in tertiary care centre including 1280 patients of oral mucosal lesions. Clinical findings and detailed history of their addiction habits with frequency and duration was noted from the existing data. Cytological and histopathological diagnosis of various lesions was recorded to conclude diagnosis. The most common lesion in this study was found to be aphthous ulcers (44.5 %), followed by leukoplakia (12.9 %). The most common site of involvement was tongue in aphthous ulcers and buccal mucosa in leukoplakia. In the present study 66.46 % cases were non malignant, 21.2 % cases were premalignant and the remaining 11.9 % cases were found to be malignant. Oral lesions are common finding in patients presenting to ENT OPD. Aphthous ulcers are common oral lesions. A patient with oral mucosal lesion should be examined for dietary deficiency, systemic disease or premalignant state with simultaneous counseling to quit addiction.

Prevalence of oral mucosal lesions in a tertiary care centre: one-year prospective study

“…A similar finding of 11.7% aphthous ulcers in age group of 15-29 years was noted by Davatchi et al 7 Goyal et al also found aphthous ulcer commonly in younger age group. 8 Malignant lesions were commonly seen in older group of 41-60 years which was similar to what Al-Mobeeriek et al found in their study. 9 The most common oral mucosal lesions found among the patients of this study were aphthous ulcers (18.7%).…”

“…10 Goyal et al found 29% involvement of buccal mucosa and 24% involvement of tongue. 8 Buccal mucosa (32.2%) was the most commonly affected site followed by oral vestibule (25.6%) and tongue (19.3%) in the study done by Kamble et al 2 Tobacco consumers were found to have a higher number of pre malignant and malignant lesions in this study while patients with no addictions had benign lesions predominantly. Similar findings were concluded by Byakodi et al, Saraswati et al and Mehrotra et al in their respective studies.…”

“…These results were similar as in the study done by Goyal et al who found that 66.46% patients had non-malignant lesions, 21.2% were pre malignant lesions and 11.9% were malignant lesions. 8 The buccal mucosa was the most common site (50%) involved followed by tongue (34.3%). Bokor-Bratić found involvement of buccal mucosa in 28.3% patients of oral mucosal lesions.…”

Prevalence of Various Oral Mucosal Lesions in South Kerala

“…1 Prevalence of leukoplakia and oral squamous cell carcinoma were low in our study (0.1% each) when compared with other reports. 4,6,9,10 Better health awareness among people of our state leading to decreased usage of tobacco and betel could have accounted for the decreased prevalence of oral cancers in our study. Less number of elderly patients in our study could also be a factor.…”

“…Most of the previous literature showed similar results 1,6,9 while a study from Bhopal observed a higher prevalence of oral aphthae. 10 Geographic tongue, characterised by frequently changing map like red areas on the tongue 8 was observed in 48 (1.2%) patients. Mathew et al observed the same in 0.84% patients.…”