sdj-10134

Prevalence of Oromaxillofacial Lesions in Major Histopathological Centers in Sulaimani City

Gasha R. Salim*, Dena N. Mohammad**, Balkees T. Garib**, Hassanain H. Khudier***

 

*Ministry of Health, Sulaimani Directorate of Health, Sulaimani, Iraq. 

**Department of Oral Diagnosis, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.

***Department of Pathology, College of Medicine, University of Sulaimani, Sulaimani, Iraq.

 

Submitted: June 5, 2021, Accepted: September 30, 2021, Published: December 1, 2021.

 

DOI: https://doi.org/10.17656/sdj.10134

Objective: Oral and maxillofacial lesions are among the most prevalent oral diseases all over the world. They can be diagnosed through a thorough history and oral examination. The present study was aimed to determine the prevalence and distribution of oromaxillofacial lesions in response to sex, age, type of surgery, site of distribution, clinical presentation, and histopathological diagnosis in Sulaimani city.  

Methods: A retrospective study conducted from January 2016 to December 2019 in three major histopathological centers in Sulaimani, 774 patients with oral and maxillofacial lesions were studied. Required data, including sex, age, type of surgical biopsy, site of lesions, and the clinical presentations of these lesions, were obtained from the patients' archived profiles and records. The collected data were analyzed through descriptive statistics and Chi-square test, and P-values of < 0.05 were considered significant.      

Results: Over half of the patients (54.3%) were females. The patients' age ranged from 1 day to 90 years. Excisional biopsy was the most frequently conducted surgical procedure (67.8%). Intraoral soft lesions accounted for (64.2%) of the whole lesions, followed by bone lesions (20.4%). Soft tissue mass was the most common clinical presentation (62.3%). The most commonly diagnosed lesions were reactive/hyperplastic lesions (24.2%) and epithelial tumors (11.4%). There was a significant relationship between age and histopathological diagnosis as the p-value =0.000.  

Conclusions: Histopathological records provide essential data that help predict the frequent site and type of the most prevalent oral and maxillofacial lesions in Sulaimani city. They can be used for prevention and treatment planning.                                                                                     

Keywords:  Oromaxillofacial lesions, Biopsy, Squamous cell carcinoma.                                                                                                                                                                                                                                                Full Article - PDF           

                                                                                                                                                                                                                                                                                                                                                   

References:

 1.Rezende Oliveira S, Fernandes Araújo Almeida T, Aparecida da Silva T, Alves Mesquita R, Guimarães Abreu L. Comparison of tissue artifacts in punch and scalpel biopsies of oral and maxillofacial lesions: A systematic review and meta-analysis. J Stomatol Oral Maxillofac Surg. 2020;121(6):704-12. 

2. Emeka C, Effiom O, Gbotolorun O, Oluwakuyide R, Adeyemi M, Olojede A, et al. Diagnostic concordance characteristics of orofacial lesions seen in lagos university teaching hospital. Afr J Oral and Maxillofac Path. Med. 2016;2(1):1-6. 

3. Okoh D, Orikpete E, Omoregie O, Ojo M. A study of the clinicopathologic patterns of orofacial carcinomas in a Nigerian population. Afr J Oral and Maxillofac Path. Med. 2015;1(2):10-17. 

4. Kansky AA, Didanovic V, Dovsak T, Brzak BL, Pelivan I, Terlevic D. Epidemiology of oral mucosal lesions in Slovenia. Radiol Oncol. 2018;52(3):263-6. 

5. Mansour Ghanaei F, Joukar F, Rabiei M, Dadashzadeh A, Kord Valeshabad A. Prevalence of oral mucosal lesions in an adult Iranian population. Iran Red Crescent Med J. 2013;15(7):600-4. 

6. Gonsalves WC, Chi AC, Neville BW. Common oral lesions: Part I. Superficial mucosal lesions. Am Fam Physician. 2007;75(4):501-7. 

7. Alam J, Siddiqui AA, Mian RI, Mirza AJ, Khan S, Alam MK. Histopathological Evaluation of Oral and Maxillofacial Lesions Managed at a Tertiary Care Teaching Hospital in Karachi, Pakistan. Int Medical J. 2018;25(1):42-4. 

8. Adesina OM, Soyele OO, Oyetola EO, Fatusi OA. Review of 109 cases of primary malignant orofacial lesions seen at a Nigerian Tertiary Hospital. Niger postgrad Med J. 2018;25(4):246- 51. 

9. Akinmoladun VI, Akintububo OB, Adisa AO, Ojo EO, Ayuba D. Evaluation of the histopathology of orofacial lesions in a North-East Nigerian tertiary centre. Ann Afr Med. 2013;12(2):105-9. 

10. Shulman JD, Beach MM, Rivera-Hidalgo F. The prevalence of oral mucosal lesions in US adults: data from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Dent Assoc. 2004;135(9):1279-86. 

11. Espinoza I, Rojas R, Aranda W, Gamonal J. Prevalence of oral mucosal lesions in elderly people in Santiago, Chile. J Oral Pathol Med. 2003;32(10):571-5. 

12. AlHindi NA, Sindi AM, Binmadi NO, Elias WY. Retrospective study of oral and maxillofacial pathology lesions diagnosed at the Faculty of Dentistry, King Abdulaziz University. Clin Cosmet Investig Dent. 2019;11:45-52. 

13. Ataíde AP, Fonseca FP, Santos Silva AR, Jorge Júnior J, Lopes MA, Vargas PA. Distribution of oral and maxillofacial lesions in pediatric patients from a Brazilian southeastern population. Int J Pediatr Otorhinolaryngol. 2016;90:241-44. 

14. Abdullah BH, Jabbar Abdul Qader OA, Mussedi OS. Retrospective analysis of 1286 oral and maxillofacial biopsied lesions of Iraqi children over a 30 years period. J. Pediatr. Dent. 2016;26(1):16-20. 

15. Dhanuthai K, Banrai M, Limpanaputtajak S. A retrospective study of paediatric oral lesions from Thailand. Int J Paediatr Dent. 2007;17(4):248-53. 

16. Soyele OO, Aborisade A, Adesina OM, Olatunji A, Adedigba M, Ladeji AM, et al. Concordance between clinical and histopathologic diagnosis and an audit of oral histopathology service at a Nigerian tertiary hospital. Pan Afr Med J. 2019;34:100.19388. 

17. Mahmoudi P, Razavi SM, Tahani B. Orofacial Pathological Lesions in Children and Adolescents: A 25-year survey in Iran. J Dent (Shiraz). 2018;19(4):265-72. 

18. Al Shayeb M, Mathew L, Elkaseh A, Kuduruthullah S. Exploring trends in reported orofacial lesions in Dubai: A single‐centre retrospective study. Oral diseases. 2020;26(6):1343-45. 

19. Hatem M, Abdulmajid ZS, Taher EM, El Kabir MA, Benrajab MA, Kwafi R. Benign Orofacial Lesions in Libyan Population: A 17 Years Retrospective Study. Open Dent. J. 2015;9:380-7. 

20. Alanazi YM, Alrwuili MR, Latif K, Alenzi NA, Alenzi BA, Aljabab MA. A 5-years retrospective study of oral pathological lesions in 425 Saudi patients. Pak Oral Dent J. 2016;36:45-8. 

21. Moridani S, Shaahsavari F, Adeli M. A 7-year retrospective study of biopsied oral lesions in 460 Iranian patients. RSBO. 2014;11(2):118-24. 

22. Yakin M, Jalal JA, Al-Khurri LE, Rich AM. Oral and maxillofacial pathology submitted to Rizgary Teaching Hospital: a 6-year retrospective study. Int Dent J. 2016;66(2):78-85. 

23. Aljazaeri S, Al Qudsi G, Jaber H, Al Elwi W, Haddad S, Echrish H. Biopsy records to the oral lesions in Basrah between 2012-2017. J Oral Med, Oral Surg, Oral Pathol, Oral Radio. 2020;6(2):74- 80. 

24. Ali Hadi Fahad, Sabah Qaysar Musa. Prevalence of oral lesions in Al-Muthannagovernorate, Iraq: (Clinicopathological study)". Int. j. enhanc. Res. sci. technol. eng .2018;7(1):8-12. 

25. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology,.4th. ed. Saunders: Elsevier; 2016. p.604-605. 

26. El Toum S, Cassia A, Bouchi N, Kassab I. Prevalence and Distribution of Oral Mucosal Lesions by Sex and Age Categories: A Retrospective Study of Patients Attending Lebanese School of Dentistry. Int J Dent. 2018;2018:4030134. 

27. Saleh SM, Idris AM, Vani NV, Tubaigy FM, Alharbi FA, Sharwani AA, et al. Retrospective analysis of biopsied oral and maxillofacial lesions in South-Western Saudi Arabia. Saudi Med J. 2017;38(4):405–12. 

28. Al-khateeb TH. Benign oral masses in a Northern Jordanian Population- a retrospective Study. Open Dent J. 2009;28,3:147-53. 

29. Joseph BK, Ali MA, Dashti H, Sundaram DB. Analysis of oral and maxillofacial pathology lesions over an 18‐year period diagnosed at Kuwait University. J Invest Clin Dent. 2019;e12432. 

30. Shahsavari F, Sadri D, Jolehar M, Farzanehnejad R. Epidemiologic Study of the Prevalence of Oral Mucosal Lesions in the Biopsied Samples at Buali and Imam Khomeini Hospitals from 2000 to 2014. J Res Dentomaxillofac Sci. 2016;1(1):28-33. 

31. Fonseca MF, Kato CO, Pereira MC, Gomes LT, Abreu LG, Fonseca FP et al. Oral and maxillofacial lesions in older individuals and associated factors: A retrospective analysis of cases retrieved in two different services. J Clin Exp Dent. 2019;11(10):e921-9. 

32. Ali M, Sundaram D. Biopsied oral soft tissue lesions in Kuwait: a six-year retrospective analysis. Med Princ Pract. 2012;21(6):569–75. 

33. Gambhir RS, Veeresha KL, Sohi R, Kakkar H, Aggarwal A, Gupta D. The prevalence of oral mucosal lesions in the patients visiting a dental school in northern India in relation to sex, site, and distribution: a retrospective study. J Clin Exp Dent. 2011;3(1):e10–7. 

34. Jahanbani J, Sandvik L, Lyberg T, Ahlfors E. Evaluation of oral mucosal lesions in 598 referred Iranian patients. Open Dent J. 2009;3:42-7. 

35. Demko CA, Sawyer D, Slivka M, Smith D, Wotman S. Prevalence of oral lesions in the dental office. Gen Dent. 2009;57(5):504-9. 

36. Shahsavari F, Khourkiaee S, Ghasemi Moridani S. Epidemiologic study of benign soft tissue tumors of oral cavity in an Iranian population. 3dj. 2012;1(1):10-5. 

37. Chen JY, Wang WC, Chen YK, Lin LM. A retrospective study of trauma-associated oral and maxillofacial lesions in a population from southern Taiwan. J Appl Oral Sci. 2010;18(1):5-9. 

38. Mortazavi H, Safi Y, Baharvand M, Rahmani S, Jafari S. Peripheral exophytic oral lesions: a clinical decision tree. Int J Dent. 2017;2017:9193831. 

39. Paul S, Pudukulangara A, Kulal R, Sambashivaiah S. Report of an unusually Huge Fibroepithelial Polyp managed with Diode Laser. J Health Sci Res 2015;6(2):52-5. 

40. Mouchrek M. M. M, Gonçalves L. M, BezerraJúnior J. R. S, Maia E. C. S, et al. Oral and maxillofacial biopsied lesions in Brazilian pediatric patients: A 16-year retrospective study. Revista Odonto Ciencia. 2011;26(3):222-6. 

Abstract

 

 

 

 © The Authors, published by University of Sulaimani, College of Dentistry

This work is licensed under a Creative Commons Attribution 4.0 International License.