Is it worth removing papillomas on the face and neck and how can this be dangerous?

Intraductal papilloma (ductal papilloma).

Removal of papilloma on the nipple

Ductal papilloma (intraductal papilloma) occurs near the nipple; removal of papilloma on the nipple is possible using electrocoagulation under local anesthesia. Signs of intraductal papilloma (or nipple papilloma) are the appearance of blood-stained or transparent discharge from one nipple. Ductal papilloma is often a precancerous condition. Treatment of papillomas on the nipple and intraductal papilloma is carried out by a mammologist-oncologist.

On the picture:

papillomas on the face

The human papillomavirus (HPV) is widespread throughout the world. HPV causes warts, papillomas, and genital warts. Different types of human papillomavirus (there are more than 100 of them) cause different diseases.

Genital warts are small skin-colored formations, their size ranges from 1 mm to several centimeters. Genital warts can form on the genitals, near the anus, on the face, even in the mouth, on the body, abdomen, in the groin area, and in the armpits. This is a viral disease. The causative agent of genital warts is the human papillomavirus (HPV).

In men, the glans penis and frenulum of the foreskin are most often affected. In women, damage by the human papillomavirus appears on the labia, clitoris, vagina, and cervix.

Genital warts can be localized around the anus.

From single ones, genital warts can grow into rashes that can spread, taking on the appearance of cauliflower. “High-risk” HPV types (16, 18, 31, 33 and 35) cause cervical dysplasia and can become malignant.

Plastic surgery of the frenulum of the lip and tongue in children

The frenulum of the tongue and lips are folds of the mucous membrane, which are normally located in the midline and provide additional attachment of the lips and tongue to the jaw bones. Shortening the frenulum of the upper or lower lip and tongue can lead to the following complications : - the vital function of sucking is limited in an infant; - subsequently the function of speech formation and the process of chewing food are disrupted; — shortened or closely attached to the edge of the alveolar process, the frenulum of the lips retracts the interdental papillae of the gums between the incisors; as a result, a diastema is formed; - a gap in the bone between the sockets of these teeth, as well as a wide distance between their crowns; - a short frenulum of the lip can lead to the formation of a gum pocket and, as a result, the deposition of tartar and inflammation of the gums. In addition, if the frenulum of the lower lip is not corrected in time, the teeth of the lower jaw become unstable, their roots are exposed, sensitivity increases, which can lead to great difficulties when eating; - wide frenulums lead to a constant accumulation of food debris and plaque accumulation.

Plastic surgery of the frenulum of the tongue, lips

In some cases, plastic surgery of the lingual frenulum is necessary to prevent periodontal disease. Sometimes after surgery you have to get used to freer movements of the tongue, diction improves significantly. Timely plastic surgery of the frenulum of the tongue and upper lip must be carried out to avoid the development of inflammatory processes in the oral cavity and to normalize the position of the teeth. When it is necessary to eliminate the abnormal location of the frenulum of the lips or tongue with normal dimensions of the vestibule of the mouth, frenotomy (dissection) or frenectomy (excision), as well as more effective frenuloplasty (moving the site of attachment of the frenulum apical and/or lateral to the gingival margin) are performed.

Frenum plastic surgery

The operation of plastic surgery of the frenulum of the upper lip is carried out only after the child has completely erupted four incisors of the upper jaw (at 7-8 years old). The operation of plastic surgery of the oral vestibule is carried out after the complete eruption of four incisors of the lower jaw (at 8-9 years). These operations are also performed on older people (for example, adolescents or young adults) in connection with orthodontic treatment or the threat of developing periodontal disease.

The operation to lengthen the shortened frenulum of the lip is outpatient, performed under local anesthesia, and takes 15-20 minutes. At the site of the frenulum, sutures (applied with catgut) remain, which dissolve on their own over time.

It is important to note that the indications for plastic surgery of the frenulum of the tongue and lips are determined not by a dental surgeon, but by an orthodontist or speech therapist .

With a narrow frenulum, which, when the lip is retracted, is visible in the form of a transparent film and is not attached to the edge of the alveolar process, it is dissected in the transverse direction, applying sutures in the longitudinal direction. If the frenulum is wide, an incision is made along the crest of the tense frenulum with excision of the interdental papilla and tissues located in the bone space between the roots of the spread central incisors. Children's dentistry "DejaVu" in Zhulebino - make an appointment by phone / 02-00.

Children's appointments at the DejaVu clinic are conducted by pediatric dentists:

Kozhin Vitaly Andreevich

Grushevskaya Tatyana Vladimirovna

You can get more detailed information about dental treatment for children at DejaVu dentistry in Zhulebino and Lyubertsy at an initial consultation, which you can sign up for by calling: 8(495) 706-01-00 and 8(495) 706-02 -00. Pediatric dentistry in Zhulebino On our website, you can read and leave reviews about the work of the clinic.

Genital warts - routes of infection

The route of infection with HPV is contact. But household infection with the human papillomavirus is also possible. When a person comes into contact with infected skin or mucous membranes of a sick person, HPV infection occurs. Very often, this does not appear outwardly; the virus may not show itself for a long time. But under certain conditions (decreased immunity, concomitant diseases), HPV is released onto the surface of the skin and mucous membranes. In a latent (dormant) state, infection of other people with HPV is rare. From the moment of HPV infection to the appearance of genital warts, it can take from several weeks to several years.

Photo of condylomas on the genitals and in the perianal area

There are “low-risk” and “high-risk” types of HPV. Genital warts are caused by “low-risk” HPV types 6 and 11.

Is it worth removing papillomas on the face and neck and how can this be dangerous?

Probably, almost every person in childhood had a wart on their fingers or was bothered by a purulent boil, stye on the eyes, or herpes on the lips prevented them from eating normally. And some people are literally covered with papillomas on their face and neck. Why do they come out in such unexpected places? And it’s all due to the herpes virus and human papillomavirus, which once infected cannot be cured. The insidious virus is “prescribed” in the body for life and can be asymptomatic for years, without making itself felt.

And as soon as the immune system weakens, the body weakens, feels a lack of vitamins, lives under the influence of chronic fatigue, stress, it immediately manifests itself in the form of warts, papillomas and herpes. We talked about this in more detail with Marina Afanasyevna Vyguzova, an infectious disease specialist at the Yakutsk Medical Center.

— In childhood, we all got warts, so how do you know that a person is a carrier of the herpes virus?

— At the KVD you can get tested for HSV (herpes simplex virus) and HPV (human papillomatosis virus). A smear from the genital tract is taken for the herpes simplex virus using PCR diagnostics. Moreover, herpes can be localized not only on the genitals, but also in other places. The human papillomavirus, of which there are many classifications, is determined through blood from a vein using the ELISA method.

— What is the difference between herpes and papilloma?

— Papillomas, soft round-shaped formations that are attached to a stalk, quickly grow on the face, neck, armpits, and sometimes on the genitals, they appear only on the skin of a person, and herpes in severe cases can be localized on the internal organs. In the carrier, the existence of this virus in the blood is most often asymptomatic, if the body’s immune defense is sufficient to prevent its excessive activation.

- If the test is positive, they say it remains for life and is not treated, is it really so hopeless?

— It all depends on the titers, if the titer is small, then this is considered a carrier state, and if the disease has external manifestations and the titer is high, then symptomatic treatment is prescribed. Unfortunately, it is not possible to remove the virus from the body; the antibodies remain, the titers simply decrease. If a person’s immunity is good, the virus can remain dormant for a long time and not manifest itself in any way. Therefore, you need to take care of yourself and not catch a cold, because when a person is sick with ARVI or acute respiratory infections, influenza, sore throat, this is the first alarm bell about reduced immunity. Even if you are sick and feel chills, you do not need to endure body aches on your feet, drinking antipyretic drugs and going to work. By doing this you only oppress and suppress the functioning of the immune system. In the first week, you need to stay at home, lie down under a warm blanket, drink plenty of fluids and allow the immune system to fight infection and eliminate viruses. We need to train the body to resist diseases; the capabilities of the immune system are limitless. Remember, living in the same house with a sick person, not all family members suffer from tuberculosis. Also, in past centuries, not all people during the plague fell ill with cholera, smallpox, etc. Those who had good immunity remained.

— Why is carriage of HSV and HPV dangerous?

— HPV primarily reduces reproductive function in women, in some cases even to the point of infertility.

— How is the herpes and papilloma virus transmitted: domestically or sexually?

— The human papillomavirus is spread through household contact, just like chickenpox and measles. And some types of herpes can be transmitted sexually.

— They say that some strain of HPV can be oncogenic and provoke the development of cancer, is this true?

— The human papillomavirus has become widespread throughout the world. According to medical statistics, about 90% of the population are carriers of one type of papilloma virus. Modern medicine has described over 70 varieties of this infection, causing various diseases of the mucous membranes or skin. HPV includes varieties of warts, including plantar warts. Only some of them are classified as a precancerous condition. You can find out about this by taking an HPV test.

— If a wart or papilloma comes out, how to react correctly: cauterize it, or go to a doctor, which one?

— Papillomas and warts are not aesthetically beautiful, therefore, before removing or cauterizing them, you need to go to a dermatologist to find out their nature and prescribe proper treatment.

— Marina Afanasyevna, thank you for the conversation!

ICNL Press Service

Treatment of papillomas, condylomas (HPV)

• performed on the body by a dermatologist-cosmetologist,
• on the male genitals - urologist,
• for women - a gynecologist,
• in the area of ​​the anus and perineum - a proctologist.

There is now a treatment that is highly likely to eliminate HPV infection. Modern treatment for genital warts can not only remove or reduce the symptoms of the disease, it eliminates the HPV infection and prevents further transmission of the virus in many cases. However, after any treatment method, relapses are possible.

• Laser removal of genital warts is performed under local anesthesia.
• Electrocoagulation, removal of genital warts using high temperature, is carried out under local anesthesia.
• Interferon blockades (genital warts are injected with an interferon drug).
• Radio wave removal of condylomas. Today, the most effective method for removing genital warts. There is no trace left of condylomas.

Removal of papilloma in the oral cavity

As a rule, removal of warts in the oral cavity is carried out using the radio wave method or using a laser. These two methods are the most effective, safe and painless (in some cases, local painkillers may be used). The essence of laser cauterization of papilloma is the impact of narrowly directed beams of a certain frequency, which leads to destruction and necrosis of pathologically altered tissues. Radio wave removal of warts involves cutting off the papilloma at its base, which allows the removed material to be sent for further histological examination.

The advantages of laser and radio wave treatment of papilloma include:

• Efficiency of the procedure;
• No postoperative scars;
• Minimal damage to surrounding healthy tissue;
• Short rehabilitation period;
• Possibility of removing warts of any size and location;
• No postoperative complications (bacterial contamination, spread of infection, bleeding).

There are also other destructive methods to combat warts in the mouth. These include:

• Cryodestruction (cauterization of papilloma with liquid nitrogen);
• Electrocoagulation (excision of warts with electric current);
• Cauterization of growths with chemicals;
• Surgical excision of papilloma using a scalpel.

However, due to the special sensitivity and increased humidity of the oral mucosa, the listed methods will be less effective and safe.

Contraindications for surgical treatment of warts include the presence of cancer, acute infectious viral pathologies, exacerbation of chronic diseases and diabetes mellitus in the decompensation stage.

The most effective and appropriate method of wart surgery is selected by the doctor after an examination. In this case, the specialist takes into account the age and health status of the patient, the presence of possible contraindications and allergic reactions, as well as the location, size and number of tumors.

Advantages of treating human papillomavirus at Deltaclinic

• Our clinic has all the necessary specialists (dermatologist, dermatologist-oncologist, proctologist, urologist, gynecologist) who remove condylomas and papillomas of any location.
• The most modern equipment (lasers, electrocoagulation, radio wave), which allows you to get rid of condylomas on the day of the visit.
• Condylomas are removed without leaving a trace. Excellent cosmetic effect - no trace remains on the skin and mucous membranes.
• Fast healing time.
• An accurate diagnosis of the type of papillomavirus is carried out. General immunostimulating and antiviral therapy is prescribed.
• Removal of candylomas is carried out on an outpatient basis; hospitalization is not required.

Photo:

Surgitron device for non-surgical (radio wave) removal of condylomas.

Do not delay your visit to the doctor, genital warts must be removed! If papillomas are not removed, they can spread throughout the body. The virus can be transmitted to other people with whom an HPV-infected person comes into contact. A woman can infect her fetus during childbirth. Cases of familial infection with the human papillomavirus are common.

Types of labial frenuloplasty

There are three main types of frenuloplasty. Each of them is indicated for different diseases or anomalies of attachment.

• Frenotomy
  – involves cutting the frenulum if it is too narrow or short. This operation eliminates discomfort when chewing and corrects the patient’s bite.
• Frenuloplasty
  is an operation in which the edge of the frenulum is fixed in another place (usually higher). Y-shaped and Z-shaped frenuloplasty are performed (the difference is in the type of incision).
• Frenectomy
  – resection of the wide frenulum of the upper lip. The most radical type of plastic surgery, as a result of which the interdental papilla and mucous membrane tissue are partially or completely removed.

Operation on the labial frenulum is divided into types depending on the method of implementation. Today, such plastic surgery is performed with a laser or scalpel. The laser method is more modern, painless and comfortable for the patient. The entire procedure takes a few minutes and does not require long-term rehabilitation.