How to treat exfoliative cheilitis?

Written by Tian Hua
Otolaryngology
Updated on September 25, 2024
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Treatment for exfoliative cheilitis involves identifying and removing potential causes, avoiding external irritants, and correcting bad habits with local medication treatment. For mild cases, apply honey, glycerin, petroleum jelly, silver nitrate ointment, or zinc oxide ointment externally. In severe cases, apply corticosteroid cream externally, consider surgical removal for those with epitheliomatous hyperplasia, and treat with helium-neon laser irradiation and superficial X-ray irradiation. Drug treatment shows significant short-term effects, but often recurs and is difficult to cure completely. (Note: Specific medications should be used under the guidance of a doctor.)

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What should I do about lip inflammation and melanin deposition?

The patient's lip inflammation has caused lip hyperpigmentation, which does not affect general health, speech function, or eating function, and thus usually requires no special treatment. However, if the patient feels that this affects their appearance, they can use methods such as lip tattooing, lip bleaching, or applying lipstick to cover it up. However, patients should be aware that if lip inflammation recurs, lip tattooing might exacerbate symptoms and could possibly lead to local ulceration and other issues. Therefore, it is not recommended to undergo lip tattooing if the lip inflammation frequently recurs. In daily life, it is important to keep the lips moist and avoid irritants.

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Can allergic cheilitis heal on its own?

Allergic cheilitis generally occurs when the patient's lips come into contact with some allergenic substances. For example, if a patient consumes allergenic foods, like certain proteins that infants and young children might be allergic to, this can lead to inflammation of the lips, itching, and redness. In such cases, it is generally recommended that the patient not worry too much and that no special treatment is required, as observation can lead to recovery. Some adults develop lip allergies possibly due to the use of certain products like lip balms or lipsticks, which can also lead to allergic reactions on the lips. Patients are advised to identify the cause of their allergy and avoid the allergens to alleviate the symptoms. Additionally, if a patient experiences severe allergic reactions on the lips, they can apply some anti-allergy medication to relieve itching.

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What are the symptoms before lip inflammation turns into cancer?

Cheilitis is generally caused by some local inflammation of the lips and is also relatively common in clinical settings. The skin of the lips is quite fragile and cannot withstand intense external stimuli. During the autumn and winter seasons, exposure to strong external stimuli may cause inflammation, swelling, pain, and even peeling and bleeding of the lips. However, long-term cheilitis generally does not lead to cancerous changes. If recurrent and long-term outbreaks occur, it may lead to the proliferation of some soft tissues of the lips. It is essential to pay attention to lip care in daily life, maintain lip moisture, and develop correct living habits. Additionally, it is crucial for patients to pay attention to lip care, especially in the dry seasons of autumn and winter, focus on moisturizing the lips, and use appropriate lip balms to effectively care for the lips.

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How can exfoliative cheilitis be completely treated?

Exfoliative cheilitis is currently very difficult to completely cure. Exfoliative cheilitis is considered an immune disease, caused by external irritants, allergens, and various other factors triggering an abnormal body reaction. Clinically, it mainly presents as scaling and peeling of the lip tissue, along with chronic inflammation. Patients with this condition can undergo symptomatic treatment, but curing it entirely is very challenging. During outbreaks of exfoliative cheilitis, it is important to keep the lips clean. Methods like moist compresses can help maintain lip moisture and prevent the cheilitis from worsening due to dryness. Patients should avoid peeling off dry skin from the lips with their hands as this can lead to infections.

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Cheilitis is divided into several types.

Cheilitis is a relatively common oral inflammation in dentistry, with allergic cheilitis being a common type. Allergic cheilitis may occur when the patient's lips come into contact with certain allergenic substances, such as lipstick, lip balm, or medications. If these components cause discomfort to the patient's lips, it can trigger an allergy, leading to localized red rashes, peeling, and itching of the lips. There is also a type called chronic cheilitis, which generally arises from internal heat in the patient’s body, or a deficiency in certain vitamins and trace elements, leading to dry and cracked lips. Another type is seasonal cheilitis, which occurs during the dry climate of autumn and winter, causing the lips to become inflamed due to the dry weather. This type of cheilitis is generally mild and can be alleviated quickly by applying some anti-inflammatory ointment locally. Patients need not be overly concerned but should relax, paying more attention to daily dietary hygiene.