Ulcerative Lesions of the Oral Cavity: Types, Causes, and Diagnosis, Slides of Otorhinolaryngology

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ULCERATIVE LESIONS OF THE

ORAL CAVITY

ORAL CAVITY

• LIPS

• TEETH

• GINGIVA

• ORAL MUCOUS MEMBRANES

• PALATE

• TONGUE

• ORAL LYMPHOID TISSUES

Trauma:

• Cheek Biting

Trauma:

• Ill-Fitting dentures

Trauma:

• Abrasions from Teeth

Recurrent Aphthous Stomatitis(RAS)

• Most common ulcerative lesion of oral cavity
• Recurrent, painful ulcers
• Confined to soft mucosa
• Subdivided into three types:
  • Minor aphthae
  • Major aphthae
  • Herpetiform aphthae

Recurrent Aphthous Stomatitis (RAS)

• Minor apthae

Recurrent Aphthous Stomatitis (RAS)

• Major Aphthae
  • Uncommon
  • Irregular, deep ulcers
  • 1-3 cm in size
  • Raised borders
  • Heal in 4-6 weeks
  • Extensive scarring and distortion
  • BIOPSY!!
  • Steroids

Recurrent Aphthous Stomatitis (RAS)

• Herpetiform Aphthae
  • Uncommon
  • Crops of up to 150 very small (<3mm) ulcers
  • Heal completely in 7-10 days
  • COMPLETELY UNRELATED TO HERPESVIRUS

Recurrent Aphthous Stomatitis (RAS)

• Herpetiform aphthae

Behcet’s

• Affects persons of Mediterranean, Middle Eastern, or Japanese decent
• Easily confused with Stevens-Johnson syndrome or Reiter’s disease
• Need referral for systemic treatment

Herpesvirus Infection

• HSV-1 and/or HSV-
  • Primary Infection
  • Secondary Infection
• Varicella zoster virus (HHV-3)

Herpesvirus Infection

• Primary Infection

Herpesvirus Infection

• Primary Infection