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Indian Journal of Otolaryngology and Head & Neck Surgery

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28-03-2023 | Stomatitis Aphthosa | Other Articles

Management of Recurrent Aphthous Stomatitis: An Indian Expert Consensus

Authors: Samir Bhargava, Satya Prakash Dubey, Deepak Haldipur, Bachi Hathiram, Charuhas Jagtap, Vicky Khattar, Shriram Vasant Kulkarni, Ashwin Kotamkar, Parthasarathy Muralidharan, Pradeep Kumar, Amit Qamra, Abhishek Ramadhin, Sreenivasan Venkatraman

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 3/2023

Abstract

Recurrent aphthous stomatitis (RAS) is characterized by painful, oral mucosal ulcers with wide range of prevalence ranging from 2 to 78%. Etiology of RAS is idiopathic and multifactorial. There are numerous gaps in assessment and management of RAS and the absence of guidelines or a consensus document makes the treatment further difficult. The aim of this document is to provide an Indian expert consensus for management of RAS. Experts from different specialties such as Otorhinolaryngology, Oral Medicine/Dentistry and Internal Medicine from India were invited for face to face and online meetings. After a deliberate discussion of current literature, evidence and clinical practice during advisory meetings, experts developed a consensus for management of RAS. We identify that the prevalence of RAS may lie between 2 and 5%. In defining RAS, we advocate three or more recurrences of aphthous ulcers per year as criterion for RAS. Investigation should include basic hematological (complete blood count) and nutritional (serum vitamin B12, and iron studies) parameters. Primary aim of treatment is to reduce the pain, accelerate ulcer healing, reduce the recurrences and improve the quality of life. In treating RAS, initial choice of medications is determined by pain intensity, number and size of ulcers and previous number of recurrences. Topical and systemic agents can be used in combination for effective relief. In conclusion, this consensus will help physicians and may harmonize effective diagnosis and treatment of RAS.

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Title: Management of Recurrent Aphthous Stomatitis: An Indian Expert Consensus
Authors: Samir Bhargava
Satya Prakash Dubey
Deepak Haldipur
Bachi Hathiram
Charuhas Jagtap
Vicky Khattar
Shriram Vasant Kulkarni
Ashwin Kotamkar
Parthasarathy Muralidharan
Pradeep Kumar
Amit Qamra
Abhishek Ramadhin
Sreenivasan Venkatraman
Publication date: 28-03-2023
Publisher: Springer India
Keywords: Stomatitis Aphthosa
Aphthous Ulcer
Aphthous Ulcer
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 3/2023
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-03708-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of Recurrent Aphthous Stomatitis: An Indian Expert Consensus

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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