Posts by Patricia de Vries

Focal epithelial hyperplasia (FEH), also known as Heck’s disease, is a rare, benign oral condition associated with human papillomavirus (HPV) seen commonly in Native Central and South American populations. A 9-year-old Nigerian female was referred from her dentist presenting with widespread asymptomatic, soft, raised papules spread over the labial mucosa and lips present from early…

Aims and Objectives Literature states that oral melanomas account for 1.2 out of every 100 million malignancies diagnosed worldwide. This case report aims to discuss a patient who presented with an oral lump which following biopsy confirmed oral malignant melanoma. It explores the management options and considerations for this unusual oral malignancy. History History of…

Case Presentation: Oral & Maxillofacial Surgerycomplaining of a one-year history of oral dryness, worsened in the afternoons. He had a history of osteoarthritis, eczema, and type 2 diabetes, managed with Metformin, and smoked 2 cigarettes daily. A provisionally diagnosed of xerostomia secondary to diabetes was made, and salivary substitutes were prescribed. Upon presentation to the…

Introduction: Orofacial granulomatosis (OFG) is an uncommon chronic inflammatory disorder which affects the orofacial region. The main clinical features associated with OFG are non-painful swelling of the lips, angular cheilitis, linear oral ulceration, mucosal tags, and a cobblestone appearance of the buccal mucosa. Histologically, it is associated with noncaseating granulomas and multinucleated Langhans-type giant cells.…

Lymphatic malformations, often termed as lymphangiomas, are a form of benign hamartoma which commonly occur in the head and neck region. Whilst rare in the oral cavity, these most frequently affect the tongue. Most lymphatic malformations occur during infancy and early childhood, with the majority being evident by the age of 2. Lingual lymphatic malformations…

Introduction Superficial mucocele is a term used to describe a mucocele variant that often presents as a small, taut vesicle, filled with clear fluid. It can appear in any location of the oral cavity in relation to a minor salivary gland and there is not always a clear connection to trauma. Though benign and mostly…

Introduction Lichen planus is a chronic mucocutaneous condition which can affect the oral mucosa. Patients with oral lichen planus (OLP) can suffer a variety of symptoms. Several regimes have been suggested in the management of symptomatic OLP, with topical corticosteroids often being the first line treatment. Patients with oral mucosal conditions, including OLP, are often…

INTRODUCTION The aim of this study was to determine nutritional, psychological, and physical status of Head and Neck Oncology patients preoperatively, to provide timely intervention and improve patient health and wellbeing. METHODS A multimodal assessment was completed for 16 consecutive patients. The authors used the eat-10 screening tool and the oncology malnutrition screening tool (OMST).…

Introduction Fixed drug eruption (FDE) is a cutaneous adverse reaction characterised by recurrent lesions at the same site upon exposure to the causative drug. Skin lesions present as well-demarcated, erythematous plaques or macules, occasionally accompanied by bullae and erosion. Oral involvement is rare. Causative drugs include nonsteroidal anti-inflammatory drugs (NSAIDs), paracetamol, and antifungals. We present…

Aim Audit on management of minor, moderate and severe oral epithelial dysplasia (OED) at UHCW, with data compared with the Liverpool algorithm for management of OED. Aim is that OED is treated and monitored appropriately so that treatment options can be as minimally invasive as possible. Process As the Liverpool Algorithm was published in 2015,…