6533b86cfe1ef96bd12c81b0

RESEARCH PRODUCT

Value of videoroscopy in the detection of alterations of  Actinic Cheilitis and the selection of biopsy areas

Thiago De Miranda FerrariKarin Soares Gonçalves CunhaTábata Alves DomingosAna Maria De Oliveira MirandaTaiana Campos LeiteEliane Pedra Dias

subject

AdultMalePathologymedicine.medical_specialtyErythemaAdolescentBiopsyVideo RecordingOdontologíaPhysical examinationLesionYoung AdultBiopsyMedicineHumansExact locationOral DiagnosisChildGeneral DentistryAgedAged 80 and overOral Medicine and Pathologymedicine.diagnostic_testbusiness.industryActinic cheilitisResearchDiagnosis OralMiddle Aged:CIENCIAS MÉDICAS [UNESCO]medicine.diseaseCiencias de la saludDermatologyLipOtorhinolaryngologyCheilitisUNESCO::CIENCIAS MÉDICASSurgeryPhysical examFemalemedicine.symptombusiness

description

Background To demonstrate the value of videoroscopy in identifying lesions and alterations not seen by oroscopy and to select the area for biopsy. Material and Methods Eighty patients were subjected to anamnesis, physical exam, videoroscopy exam, toluidine blue test and biopsy. A diagram of the lips was created to record the exact location where the lesion was found. Results Physical exam identified 287 lesions, and videoroscopy identified 587 lesions; erythema and white lesions were the most common lesions associated with actinic cheilitis. Of the 59 performed biopsies, 32 (52.4%) cases were identified by videoroscopy that showed lesions that were not detected during physical examination. Conclusions The establishment of a diagram of the lip permitted registration of the precise location of the lesion. Videoroscopy was effective in locating lesions not seen by oroscopy. Both videoroscopy and the diagram of the lips allowed for better and earlier diagnosis and better patient follow-up for those with actinic cheilitis. Key words: Actinic cheilitis, potentially malignant disorder, videoroscopy, dermatoscopy, lip. oroscopy, diagram of lip.

10.4317/medoral.20297http://europepmc.org/articles/PMC4464916