Presentation The patient presents with a foreign-body sensation or a fullness or lump in the throat, possibly associated with a slightly muffled voice and gagging. Often patients have seen their swollen uvula after looking in a mirror. On examination of…
Presentation Patients present with the inability to close the jaw, usually after yawning, laughing, taking a large bite of food, suffering a traumatic jaw injury, or having a dystonic drug reaction. Such patients have difficulty enunciating clearly. Although they usually…
Presentation Patients usually complain of poorly localized facial pain or headache that does not appear to conform to a strict anatomic distribution. The pain is generally dull and unilateral, centered in the temple above and behind the eye, and in…
Presentation Although most common in men of age 30 to 60 years, patients of any demographic may develop salivary duct stones. Most salivary stones occur in the Wharton duct from the submandibular gland. The patient typically presents after rapid swelling…
Presentation Patients present with inflammation and soreness of the skin and contiguous labial mucous membranes at the angles of the mouth ( Fig. 56.1 ). On examination, there is erythema, fissuring, and maceration of the oral commissures. In severe cases,…
Presentation Patients with orthodontic appliances may present after traumatic injury or discomfort in the absence of distinct trauma. There may be bleeding, lacerations, or patient anxiety. Other problems include impacted food, candy, or chewing gum causing gingival infection. You’re Reading…
Presentation Patients present with swelling, burning, or soreness at the vermilion border of the lips followed by the appearance of clusters of small painful vesicles on an erythematous base ( Fig. 54.1 ). The vesicles can rupture to produce red,…
Presentation A parent may present with an infant with white patches in the mouth, or an older patient—classically with either poor oral hygiene, diabetes, a hematologic malignancy, an immunodeficiency, or on antibiotic, cytotoxic, or steroid therapy—may complain of a sore…
Presentation Because of the rich vascularity of the soft tissues of the mouth, impact injuries often lead to dramatic hemorrhages that bring patients with relatively trivial lacerations to the emergency department (ED) and other health care facilities. Blunt trauma to…
Presentation With mild gingivitis, the patient’s gums bleed easily and become red and swollen with increased sensitivity. As symptoms worsen, the gums begin to recede and take on a beefy red, inflamed color. Further progression leads to the most severe…