Oral Biopsies – Operative Warnings

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  • #17385
    drmittal
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    Registered On: 06/11/2011
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    Anatomical-Specific Warnings:

    Tongue – limitation mobility / function of tongue (due to
    swelling, tenderness etc); marked swelling.

    Gums – gum recession, hot-cold sensitivity due to
    exposed dentine as the gum recedes; need for use of
    Coe-Pak (surgical dressing / cement) dressing.

    Cheeks – numbness / tingling at the biopsy site
    (especially if biopsy of lip); problems with salivary gland
    ducts (adjacent to the upper 1st molars) being
    traumatised, tied off (by stitches) or cut through.

    Floor of Mouth – altered sensation; problems with salivary
    gland ducts being traumatised, tied off (by stitches) or cut
    through.

    Roof of Mouth – bleeding from biopsy site due to difficulty
    in apposing the wound sides; roof of mouth-floor of nose
    communications (especially if the soft palate is being
    operated on); need for use of Coe-Pak.

    #17386
    Anonymous

    What is a Biopsy?

    A biopsy is often recommended following a
    consultation on the clinic.

    It is a simple procedure that provides tissue for the
    histopathologists to discover the presence, cause or
    extent of a disease.

    The procedure is carried out under local anæsthetic, that is,
    you will be awake and have an injection to numb up the
    tissue in question. You will have stitches at the biopsy site
    that dissolve over the next 10 – 14 days. You can expect
    some discomfort and possibly swelling afterwards. These
    will settle over the next few days.

    The whole process should take less than 30 minutes.

    There are two types of biopsy:

    Excisional Biopsy.

    Where the biopsy aims to remove an area completely. This
    is usually only appropriate for small lumps or swellings.

    Incisional Biopsy.

    Occasionally, only a small piece of an abnormal area is
    removed to confirm a diagnosis.

    A local anaesthetic injection is used to numb the area which
    takes a couple of minutes to work. After this injection, the
    procedure should be painless. The biopsy usually leaves a
    small hole that often requires stitching. In the majority of
    cases the stitches used are dissolvable and take around
    two weeks to disappear.

    All together, this procedure usually takes around 15 – 20
    minutes from start to finish.

    Before Your Appointment

    No special precautions have to be taken before your
    biopsy. Make sure you take your medications as normal.

    Please eat and drink as normal prior to your appointment
    and DO NOT miss meals.

    After Your Appointment

    Following the procedure, the doctor will instruct you on how
    to keep yourself comfortable over the next few days.

    The biopsied area will be sore and any discomfort can be
    controlled by pain-killers such as paracetamol or ibuprofen.

    You will be able to eat and drink as normal immediately
    after the biopsy but avoid anything too hot for the first 24
    hours. Try not to either spit out or rinse out the mouth and
    do not do any physical exertion for the next 24 hours as
    this can make the swelling worse or dislodge the blood clot
    at the site of operation encouraging more bleeding.

    Use either a hot salty mouthwash or an antiseptic
    mouthwash such as Corsodyl, for the next few days,
    starting 24 hours after the procedure. This should lessen
    the chance of infection at the biopsy site and hasten the
    biopsy site’s healing.

    Results

    If the lump or bump that is being biopsied looks to be a
    well-recognised or common lump or bump, we won’t
    necessarily review you on clinic but will send the biopsy
    results to you.

    In other cases, you will normally be given a review
    appointment for the biopsy results to be discussed
    approximately 3 – 4 weeks after the biopsy.

    #17387
    Anonymous
    #17388
    Anonymous

    more information..

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