Introduction: Ulcero-membranous lesions of oral cavity and oropharynx are common ENT complaint weencounter in OPD and also pose effect on health of the patients and so it is important to establish properdiagnosis and to provide appropriate treatment.Aims: To determine the proportion of patients presenting with various clinical features of ulcero-membranouslesions in oral cavity & oropharynx.Materials and Methods: it is a prospective study done in department of ENT over a period of 18 months.Patients with complaints of ulceromembranous lesions attending otorhinolaryngology OPD who are willing toparticipate in study were considered for study.Results: In present study, most common age group involved were 41-60 years constituting 45.09% and malesoutnumbered females constituting 65.69%.Most common throat symptom was odynophagia followed byburning sensation, dysphagia and throat pain. Associated ear complaints were present in 14.7% and nosecomplaints in 5.9%.General symptoms like fever was present in 10.7%,loss of weight was present in 23.5%,general weakness was present in 15.6%,skin lesions were present in 6.9%.Systemic diseases like diabetes waspresent in 34.3%,hypertension was present in 25.4%,HIV was present in 3.9%.Risk factors like smoking presentin 43.1%,alchohol consumption present in14.7%,tobacco chewing present in 17.6%,prior radition exposurepresent in 0.9%. Most common site affected in present study was tongue 44.1% followed by palate 29.4%,buccal mucosa 15.6%, tonsils 8.8%, lips 7.8%,alveolus 2.9%, RMT 1.9%. Most common etiology found wasneoplastic etiologywhich constitute 41.1%, followed by inflammatory etiology 31.3%, infective etiology 20.5%and miscellaneous 6.8%. 52.9% patients were managed conservatively and among patients with neoplasticetiology, 36.2% were treated surgically by oncosurgery team and 10.7% patients were managed withradiotherapy.Conclusion: With increase in habits like smoking and chewing nicotine in any form in adult population there isrise in incidence of malignancies .So high index of suspicion is needed while treating an oral ulcer especiallychronic ulcers. Biopsy and histopathological examination are always gold standard to confirm the diagnosis.

Introduction: Ulcero-membranous lesions of oral cavity and oropharynx are common ENT complaint weencounter in OPD and also pose effect on health of the patients and so it is important to establish properdiagnosis and to provide appropriate treatment.Aims: To determine the proportion of patients presenting with various clinical features of ulcero-membranouslesions in oral cavity & oropharynx.Materials and Methods: it is a prospective study done in department of ENT over a period of 18 months.Patients with complaints of ulceromembranous lesions attending otorhinolaryngology OPD who are willing toparticipate in study were considered for study.Results: In present study, most common age group involved were 41-60 years constituting 45.09% and malesoutnumbered females constituting 65.69%.Most common throat symptom was odynophagia followed byburning sensation, dysphagia and throat pain. Associated ear complaints were present in 14.7% and nosecomplaints in 5.9%.General symptoms like fever was present in 10.7%,loss of weight was present in 23.5%,general weakness was present in 15.6%,skin lesions were present in 6.9%.Systemic diseases like diabetes waspresent in 34.3%,hypertension was present in 25.4%,HIV was present in 3.9%.Risk factors like smoking presentin 43.1%,alchohol consumption present in14.7%,tobacco chewing present in 17.6%,prior radition exposurepresent in 0.9%. Most common site affected in present study was tongue 44.1% followed by palate 29.4%,buccal mucosa 15.6%, tonsils 8.8%, lips 7.8%,alveolus 2.9%, RMT 1.9%. Most common etiology found wasneoplastic etiologywhich constitute 41.1%, followed by inflammatory etiology 31.3%, infective etiology 20.5%and miscellaneous 6.8%. 52.9% patients were managed conservatively and among patients with neoplasticetiology, 36.2% were treated surgically by oncosurgery team and 10.7% patients were managed withradiotherapy.Conclusion: With increase in habits like smoking and chewing nicotine in any form in adult population there isrise in incidence of malignancies .So high index of suspicion is needed while treating an oral ulcer especiallychronic ulcers. Biopsy and histopathological examination are always gold standard to confirm the diagnosis.