Number of Cases According to Sites The sites of involvement of various lesions included buccal mucosa 31 (30.1 %), tongue 29 (28 %), tonsil 15 (14.5 %), palate 13 (12.6 %), gingiva 05 (4.8 %), lip 04 (3.8 %), alveolus and mandible 02 (1.9 %) cases each, maxilla and angle of mouth
01 (0.9 %) cases each.
Extraorally, there are two components, one is erosion, which was seen on lower lip, extending from 1 mm away from left angle of mouth
up to midline and superoinferiorly from vermilion zone to 2 mm above the lower lip line, with irregular borders, measuring about 1 cm x 2 cm, roughly oval in shape, surface was smooth.
Salivary stains over angle of mouth
and anterior aspect of chest over cloths were observed in 67 (66.33%) cases of hanging.
On extra and intra oral ex- amination she was also diagnosed with angular cheiltis unilaterally on right side of the angle of mouth
(Fig ).While taking further history she said that she had filling of upper right first molar last week by some other dentist since then she have erythema and discomfort on right side.
A 17-year-old female presented with an asymptomatic circular plaque on the right angle of mouth
which was progressively increasing in size over a span of eighteen months.
Regarding the site distribution in the orofacial region, the most commonly involved sites in descen- ding order were tongue, lip mucosa, buccal mucosa, face, sublingual mucosa, hard palate, alveolar ridge, retromolar area, soft palate, angle of mouth
and flo- or of the mouth.
In addition, he also had a well-defined erythematous, infiltrated plaque (measuring 1.5 cm X 1.5 cm) at the angle of mouth
on the left side (Figure 1).
On Day 14 of afebrile period, he was admitted again in the hospital with complaints of drooling of saliva from angle of mouth
, alteration in speech and taste and inability to close his eyes during sleep.
It was used macroscopic dissection and direct observation of the orbicular muscles of the lips, depressor of angle of mouth
, risorius and elevator of upper lip and wing of nose.
Also, there was presence of multiple fluid filled lesions with crusting near the angle of mouth
. There was also presence of recurrent multiple fluid filled lesions near the angle of mouth
4-5 episodes per year associate with pain.
No history of any diplopia or dribbling of saliva from angle of mouth
. Also no history of any bladder-bowel or cortical or meningeal or sensory involvement was there.
The upper lip was deviated to the left side and the angle of mouth
was at a lower level when compared to the left.