Maxillofacial

Question 1

What is the most common malignant neoplasm of the oropharynx?

Answer 1

Squamous cell carcinoma

Question 2

Features of oropharyngeal SCC

Answer 2

Old
Smoking - strong hx
Soreness or discomfort in throat that becomes persistent
Lump in mouth/throat
Referred otalgia
LN involvement
Unexplained weight loss

Question 3

Oral candidiasis
Features
Treatment

Answer 3

History of immunosuppression/smoking
Thick white marks

Treatment -
Good inhaler technique if using steroids
Spacer device, mouth rinse

Oral fluconazole 50mg/day 7 days

Question 4

Oral lichen planus

Answer 4

Lace like appearance

Also with pruritic polygonal rash on flexor surfaces

Question 5

Leukoplakia

Answer 5

History of smoking/alcohol
Raised edges/ bright white patches - sharply defined, cannot be rubbed out

Treatment - stop smoking

Has malignant transformation potential - SCC - bleeding , ulceration, in durations , nodules