The 90 second oral cancer examination英文电子书.pdfVIP

Perform a death-defying act The 90-second oral cancer examination comprehensive oral cancer examination takes approximately 90 Aseconds and includes a review of the patient’s medical and dental history, extraoral and intraoral inspections of the head and neck, and manual palpation of related specific sites. The following review of an oral cancer examination is based on the standardized oral examination method recommended by the World Health Organization. It also is available in poster form from the National Institute of Dental and Craniofacial Research.1 STEPS 2-8. PERIORAL AND INTRAORAL SOFT-TISSUE EXAMINATION A seven-step systematic assessment of the lips, labial mucosa, commissures and buccal mucosa, gin- giva and alveolar ridges, tongue, floor of the mouth and palate is suggested. It requires adequate light, a mouth mirror and two 2 × 2-inch gauze squares. STEP 1. EXTRAORAL EXAMINATION The extraoral assessment includes an inspection of the face, head and neck with special attention to patients who appear to spend a lot of time in the sun. Note any asymmetry or lesions on the skin such as crusts, fissuring and growths. The regional lymph nodes in the submandibular and neck areas should be bilaterally palpated to detect any enlarged 2. Lips. Observe the lips with the patient’s mouth nodes; if enlargement is detected, assess their both closed and open. Note the color, texture and mobility and consistency. any surface abnormalities of the vermilion borders.