Remote Consultations for Monitoring Actinic Cheilitis: A Preliminary Non-Randomized Clinical Trial.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral diseases Pub Date : 2025-06-19 DOI:10.1111/odi.70010

Mônica Simões Israel, Nathália de Almeida Freire, Bruno Teixeira Gonçalves Rodrigues, Yasmin Muniz Dias, Manoela Domingues Martins, Carlos Augusto Moreira de Sousa, Vinicius Coelho Carrard

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引用次数: 0

Abstract

Objective: To evaluate the feasibility of remote consultation for monitoring actinic cheilitis.

Materials and methods: A cross-over, non-randomized clinical trial comparing remote and in-person consultations for patients with actinic cheilitis. During the remote consultations, patients were interviewed and submitted clinical photos taken with smartphones. Local signs and symptoms were recorded, and examiners assessed whether a biopsy was indicated. Photos sent by patients were compared with those taken during the in-person visits.

Results: The study included 36 patients. The most frequent clinical presentation was plaques with erosive areas. Agreement between remote and in-person evaluations regarding clinical alterations was 97% or higher. In 11% of cases (n = 4), both examiners recommended biopsy. In only 2 cases (5.6%), the remote examiner considered an in-person consultation necessary. Photos taken by patients were rated as adequate in 88.6% of cases, compared to 97.1% for professional photos, with no statistically significant difference (p = 0.16).

Conclusion: Teledentistry showed promising results for the follow-up of actinic cheilitis and may help reduce healthcare costs. However, due to its potentially malignant nature, initial assessment must be performed by an oral medicine specialist to ensure appropriate diagnosis and management.

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远程会诊监测光化性口炎：一项初步的非随机临床试验。

目的：探讨远程会诊监测光化性唇炎的可行性。材料和方法：一项交叉、非随机的临床试验，比较了光化性唇炎患者的远程咨询和现场咨询。在远程会诊过程中，对患者进行访谈并提交用智能手机拍摄的临床照片。记录局部体征和症状，检查人员评估是否需要活检。患者发送的照片与亲自访问时拍摄的照片进行了比较。结果：共纳入36例患者。最常见的临床表现是糜烂区斑块。关于临床改变的远程评估和现场评估的一致性为97%或更高。在11%的病例中（n = 4），两名检查人员都建议活检。只有2例（5.6%）远程审查员认为有必要进行当面咨询。88.6%的患者对自己拍摄的照片满意，而对专业照片满意的比例为97.1%，差异无统计学意义（p = 0.16）。结论：远程牙科学对光化性唇炎的随访有良好的效果，有助于降低医疗费用。然而，由于其潜在的恶性性质，必须由口腔医学专家进行初步评估，以确保适当的诊断和管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.