Skill Checkup: Excision of Mouth Lesions

Arlen D. Meyers, MD, MBA


May 09, 2019

Larger lesions of the tongue or floor of mouth may lead to postoperative edema that could compromise the airway and may necessitate overnight observation.

Infection of the operative site is a rare occurrence, and routine administration of postoperative antibiotics is not necessary. The major complication after the procedure is bleeding. Generally, buccal and palatal mucosal lesions result with minimal bleeding. Tongue lesions may bleed more due to vascularity of the genioglossus muscle. Cauterization of bleeding points minimizes postprocedure bleeding. Deep sutures closing the tongue musculature may also be helpful in managing hemostasis.

Read more about the excision of mouth lesions.

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