Persistent redness of anterior faucial pillars
and palpable jugulodiagastric lymph nodes were the clinical signs for the inclusion in the study.
Class I: Uvula, faucial pillars
and soft palate visible.
Mallampati score (visibility of the soft palate, uvula, and faucial pillars when the patient is asked to open his mouth and protrude his tongue as much as possible).
Grade 1: Faucial pillars, uvula, soft, and hard palate visible
The fibrotic bands in the buccal mucosa run in vertical directions, in the soft palate the fibrous bands radiate from the pterygomandibular raphe or the anterior faucial pillars and in the lips circular bands can be felt around entire rima oris.
Trismus, interincisal distance of 15 to 25 mm, buccal mucosa appears pale, firmly attached to underlying tissues, atrophy of vermilion border, vertical fibrous bands palpable at the soft palate, pterygomandibular raphe and anterior faucial pillars.
Class I: faucial pillars
soft palate and uvula were visualised; Class II: faucial pillars
and soft palate were visualised;16 Class III: only soft palate was visualised; Class IV: only hard palate was visualised.
Physical examination revealed good oral hygiene, a pedunculated left-sided soft palatal mass ~4 x 5 cm ulcerated on the medial surface, touching the tongue base and faucial pillars
on the ipsilateral side but not attached to them.
Pre-anaesthetic examination showed morbid obesity (body mass index of 40), a relatively narrow mouth with a large tongue, complete dentition and prominent faucial pillars
and soft palate, contributing to a Mallampati score of 3.
examined the different sensory modalities that have been used to stimulate the anterior faucial pillars
at the posterior oral cavity, when applied alone and in all combinations, and to record SM-EMG activity .
On examination with a Jackson laryngoscope, there were no mucosal abnormalities, but a generalized fullness of the left piriform sinus and vallecula was observed, as well as some fullness of the lingual tonsils and faucial pillars
On referral to dental department, mouth opening was seen normal [Figure 3b], with blanched buccal mucosa and mild erythema on hard palate and faucial pillars