Mouth Corner Growth: Causes and Treatment Options - Otolaryngology

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There is a growth at the corner of my mouth?


Hello Dr.
Jian: My father has a long-standing habit of chewing betel nut and smoking.
Recently, he developed a growth near the corner of his mouth that resembles a small polyp, slightly smaller than a peanut.
He went to the pharmacy to get some medication, and the pharmacist said it was angular cheilitis.
However, my father's mouth corners are not ulcerated, and this condition has persisted for half a month without improvement.
Could this be related to his continued betel nut consumption, or could there be another underlying cause? Thank you for your response, Dr.
Jian.

Ivy, 20~29 year old female. Ask Date: 2010/01/02

Dr. Jian Huangqi reply Otolaryngology


It is advisable to seek outpatient examination if there is no improvement over a long period.

Reply Date: 2010/01/02

More Info


Mouth corner growths, particularly in individuals with habits such as chewing betel nut and smoking, can be concerning and may arise from various underlying causes. In your father's case, the growth resembling a small fleshy bump at the corner of his mouth could be attributed to several factors, including irritation, chronic inflammation, or even a benign growth.

One possible explanation for the growth is angular cheilitis, which typically presents as inflammation at the corners of the mouth. While it often involves cracking or ulceration, it can also manifest as a bump or lesion without significant ulceration, especially in chronic cases. Angular cheilitis can be exacerbated by habits such as smoking and chewing betel nut, which can lead to irritation and dryness of the mucosal surfaces. Additionally, nutritional deficiencies, particularly of B vitamins and iron, can contribute to the development of angular cheilitis.

Another potential cause could be a fibroma, which is a benign tumor made up of connective tissue. These growths can develop in response to chronic irritation or trauma, such as from habitual lip biting or irritation from dental appliances. Given your father's history of smoking and chewing betel nut, these habits could certainly contribute to the development of such lesions.

Moreover, oral leukoplakia is another condition that could present as a white patch or bump in the mouth, often associated with tobacco use. While leukoplakia is typically painless, it can be a precursor to more serious conditions, including oral cancer, especially in individuals with a history of tobacco use.

In terms of treatment, it is crucial for your father to cease any habits that may be contributing to the irritation, such as chewing betel nut and smoking. This cessation can significantly improve the condition of the oral mucosa and promote healing. Over-the-counter topical treatments may provide symptomatic relief, but they are unlikely to resolve the issue if the underlying cause persists.

It is highly advisable for your father to consult with a healthcare professional, preferably an oral surgeon or a dentist, for a thorough examination. They can perform a biopsy if necessary to rule out any malignant changes, especially given the chronic nature of the growth and the risk factors associated with tobacco use. A healthcare provider can also assess for any nutritional deficiencies and recommend appropriate dietary changes or supplements.

In summary, the growth at the corner of your father's mouth could be due to angular cheilitis, a fibroma, or potentially leukoplakia, exacerbated by his habits of smoking and chewing betel nut. Immediate cessation of these habits, along with professional evaluation and treatment, is essential for proper management and to prevent any potential complications. Regular dental check-ups and maintaining good oral hygiene practices will also be beneficial in preventing further oral health issues.

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