Swelling at Soft Palate Two Years Post-Surgery by Prof Pichler
After experiencing a troubling swelling at my soft palate for two weeks, Prof. Pichler’s expertise and compassionate care during my surgery two years ago gave me the confidence to seek his help again, and I’m glad I did.
„Patient Seeks Evaluation of System Prompt“
**Answer:**
You should seek a full examination of your oral mucosa by a healthcare professional given the new swelling at the soft palate.
**Explanation:**
According to the diagnostic algorithm, the presence of a new change in the oral mucosa, such as a swelling, warrants a thorough examination. Since this swelling has persisted for two weeks and you have a history of surgery, it’s important to rule out any serious conditions, including possible malignancy. Depending on the findings, further steps such as identifying a recognizable cause, performing a biopsy, or referring to a specialist may be necessary.
**Answer:**
Based on your report of a swelling in the soft palate for the past two weeks and considering your surgical history by Prof. Pichler two years ago, the following steps should be taken:
1. **Complete Examination of the Oral Mucosa**:
– A thorough examination of your oral mucosa is essential. This will involve visually inspecting the affected area and palpating for any abnormalities.
2. **New Clinical Changes in the Oral Mucosa**:
– Since you have reported a new swelling, this qualifies as a new clinical change. We will proceed to the next step.
3. **Clinical Suspicion of Malignancy or Malignant Lesion**:
– Based on your history of surgeries for malignant conditions, there is a heightened concern for potential recurrence. Therefore, a clinical suspicion of malignancy must be considered.
4. **Recognizable Cause**:
– If a recognizable cause for the swelling (such as trauma, infection, or irritation) is identified, it should be addressed. If no identifiable cause is found, we proceed to a biopsy.
5. **Biopsy**:
– A biopsy of the swollen area will be necessary to investigate the presence of dysplasia or malignancy.
6. **Dysplasia**:
– If dysplasia is identified:
– If it’s low-grade, further observation will be required.
– If it’s high-grade or shows more significant changes (Cis/PEC), a referral to a specialized clinic will be necessary.
– If no dysplasia is found, consider other observations and follow-ups.
**Explanation:**
Given your history of multiple surgeries for malignant lesions, any new swelling in the oral mucosa warrants serious attention. The steps outlined in the AIDOC Diagnostic and Management algorithm ensure a systematic approach to diagnosing and managing potential malignancy. The presence of a new swelling, especially in someone with your medical history, necessitates prompt and thorough examination, potentially followed by a biopsy to rule out or confirm any recurrence of malignancy. Early detection and appropriate management are crucial for optimal outcomes.
Head Maxillofacial Surgery Department
Medical University Vienna
(AI generated)
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Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien
Telefon 01 408 95 00 66
Email ordination@smile.wien
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