PMC6317303_01
Photographic representation of erosive oral lichen planus at presentation. Significant oral mucosal ulceration is demonstrated affecting both the hard and soft palate.
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Caucasian male was referred for an oral and maxillofacial surgery opinion by his medical practitioner complaining of severe oral discomfort, altered phonation and impaired olfaction and gustation. Clinical examination indicated severe erosive lichen planus affecting most surfaces of the oropharynx (Fig. 1).
Photographic representation of response to medical therapy. The oral ulceration has largely resolved but the patient still complains symptomatically of nasopharyngeal stenosis.
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On examination, the oral mucosa appeared macroscopically healthy (Fig. 2) but the soft palate remained firmly adherent to the posterior pharyngeal wall and the nasal airway remained almost entirely occluded.