Should I Continue Medical Evaluation for My Ear, Nose, and Throat Issue?

Can you help me see what this problem is?

This has been present for about a month.
Initially, it looked like the first image, but after a month, it has changed to the second image.
When it first appeared, I consulted an ENT specialist who mentioned it could possibly be a tumor and advised that if it doesn't improve in two weeks, a biopsy may be necessary.
However, since I wear braces, the orthodontist suggested it might just be irritation from biting.
Now, after a month, it has changed to the second image, and what was once hard now feels soft.
I would like to ask if I still need to continue seeing a doctor.

Xiao Luo, 20~29 year old female. Ask Date: 2023/03/22

Dr. Li Jiaxuan reply Otolaryngology

If a wound with non-adhering epidermis and dermis persists for more than two weeks, it is recommended to visit an otolaryngology clinic.
Wishing you good health.

Reply Date: 2023/03/22

More Info

When it comes to ear, nose, and throat (ENT) issues, especially those that have persisted for a month and have shown changes over time, it is crucial to continue medical evaluation. Your situation, as described, raises several important considerations that warrant further investigation.

Firstly, the initial assessment by your ENT specialist suggested the possibility of a tumor, which is a significant concern. Even though the appearance of the lesion has changed from hard to soft, this does not necessarily indicate that the issue has resolved or that it is benign. Tumors can exhibit varying characteristics, and the fact that there was an initial suspicion means that careful monitoring and possibly further diagnostic procedures are warranted.

The recommendation for a biopsy if there was no improvement within two weeks is a standard approach in medicine. A biopsy would provide a definitive diagnosis, allowing for appropriate treatment options to be considered. Given that you have already experienced a month of symptoms, it would be prudent to follow through with this recommendation, especially since the lesion has changed in texture. Changes in a lesion's characteristics can sometimes indicate progression or alteration in the underlying pathology.

Moreover, the fact that you are wearing braces adds another layer of complexity to your situation. Dental appliances can sometimes cause localized irritation or trauma, leading to swelling or changes in the oral mucosa. However, this does not rule out the possibility of other underlying conditions, including infections or neoplastic processes. Therefore, it is essential to differentiate between a benign reaction to dental work and a more serious condition.

In terms of next steps, I would recommend the following:
1. Follow-Up Appointment: Schedule a follow-up appointment with your ENT specialist as soon as possible. Bring any new symptoms or changes to their attention, including the change in the lesion's texture.

2. Biopsy Consideration: Discuss the possibility of a biopsy with your doctor. This procedure can provide crucial information about the nature of the lesion and guide further treatment.

3. Dental Consultation: If you have not already, consider consulting with your orthodontist or dentist about the lesion. They may provide insights into whether the braces could be contributing to the issue or if they need to be adjusted.

4. Monitor Symptoms: Keep a close eye on any changes in symptoms, including pain, swelling, or any new lesions. Documenting these changes can be helpful for your healthcare providers.

5. Seek a Second Opinion: If you feel uncertain about the current management plan or if your concerns are not being adequately addressed, seeking a second opinion from another ENT specialist could provide additional perspectives and options.

In conclusion, given the potential seriousness of your symptoms and the initial concern raised by your ENT specialist, it is advisable to continue medical evaluation. Early diagnosis and intervention can significantly impact outcomes, especially in cases where tumors or other serious conditions are a possibility. Your health and peace of mind are paramount, and pursuing further evaluation is a responsible and necessary step.

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