The dynamics of the clinical picture in the treatment of patients with severe forms of oral lichen planus and vermillion border using physical methods

Abstract

Relevance. Lichen planus is a chronic recurring dermatosis, characterized by unspecified etiopathogenesis, a variety of trigger factors, a severe, often permanent course, a tendency to malignancy of the lesion elements, and often refractory to the treatment. The most difficult clinical problem is the search for effective methods of treating continuously recurring severe forms of lichen planus and red border of the lips, refractory to corticosteroids. Objective – to improve the quality of treatment for severe forms of lichen planus of the oral mucosa and red border of the lips based on the use of various physical methods in complex therapy. Materials and methods. Depending on the complex of medical procedures, all patients were divided into four groups, the patients of which respectively underwent traditional drug treatment; complex treatment using ozone therapy; complex treatment using photophoresis of red LED radiation and a topical steroid, as well as complex treatment using combined physiotherapy and ozone therapy in combination with photophoresis. Results. The inclusion of physical methods in the complex treatment of patients with severe forms of lichen planus of the mucous membrane of the mouth and lips made it possible to accelerate the time of epithelization of erosive-ulcerative elements and achieve a stable remission of the disease. Conclusion. The obtained clinical data allowed us to draw conclusions about the appropriateness of using physical methods in the treatment of severe forms of lichen planus of the oral mucosa and lips using the effectiveness of combined physiotherapy.