WFRF:(Öhman P)
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Patient-reported pain after surgical removal of leukoplakia - an observational 1-year follow-up study
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- Korytowska, M. (author)
- NÄL Hosp, Publ Dent Serv, Clin Orofacial Med, Uddevalla, Sweden
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- Schwab, G. (author)
- Inst Trop Med Sao Paulo, Sch Med, Lab Virol, Sao Paulo, Brazil
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- Giglio, Daniel, 1977 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology,Univ Gothenburg, Inst Clin Sci, Sahlgrenska Acad, Dept Oncol, Gothenburg, Sweden
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- (creator_code:org_t)
- 2021-01-21
- 2021
- English.
- In: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 79:5, s. 383-9
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Objective: Oral leukoplakia (OL) presents as a white lesion of the oral mucosa and is not typically associated with the sensation of pain. OL should be surgically removed when possible because it is considered a potentially malignant oral disorder (PMOD). This study assessed the pain sensations experienced by patients in association with the occurrence and surgical treatment of OL. Methods: Inclusion criteria were: a clinical diagnosis of OL; biopsy excision; and observation for at least 12 months in the ORA-LEU-CAN study. At the first visit, all the patients were asked about the occurrence of symptoms within the lesion. Ninety-four subjects were assessed over a period of 1 year. All patients underwent complete removal of OL. The patient cohort was divided into three sub-groups: (i) no pain before excision and at the 1-year follow-up; (ii) pain before excision; and (iii) pain at the 1-year follow-up. Results: Overall, pain was reported by 21.3% of the patients at the study start whereas 13.8% of the patients reported pain 1 year after surgical treatment. Patient-reported pain from the lesion at study inclusion was significantly associated with lesions found on the lateral side of the tongue (p=.002). Pain reported by patients one year after surgery was significantly related to female gender (p=.038) and the presence of epithelial cell dysplasia (p=.022). Conclusion: We conclude that surgical removal of OL results in a low risk of long-term post-surgical pain. However, OL located on the lateral side of the tongue and in OL with dysplasia are more likely to be associated with pain.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- Leukoplakia
- surgical excision
- pain
- potentially malignant oral
- disorders
- Dentistry
- Oral Surgery & Medicine
- Leukoplakia
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Sand, L.
- Wallström, Mats
- Öhman, Jenny
- Braz-Silva, P.
- Hasséus, Bengt, ...
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- Uppsala University
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