Burning mouth syndrome, otorhinolaryngology approach. Systematic review

  • María San Millán-González
    Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología. Valladolid https://orcid.org/0000-0003-4894-613X mariasm_46[at]hotmail.com
  • José Ignacio Benito-Orejas
    Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología. Valladolid https://orcid.org/0000-0002-8999-9812
  • Victoria Duque-Holguera
    Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología. Valladolid https://orcid.org/0000-0003-2191-7267
  • María Álvarez-Álvarez
    Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología. Valladolid
  • Juan Losada-Campa
    Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología. Valladolid https://orcid.org/0000-0003-1153-6532
  • Diana Milena Saboya-Romero
    Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología. Valladolid

Abstract

Introduction and objective: Burning mouth syndrome (BMS) is a chronic condition that causes burning or pain of the oral mucosa, predominantly affecting middle-aged women. It can appear as a primary box or secondary. The pathophysiology of this entity is quite unknown. There is a varied therapeutic range, but it generally requires a multidisciplinary approach. Our intention is to update the disease in order to deal with it in the otorhinolaryngology consultation. Method: Bibliographic review of the literature. Limited release date from 2012 to 2022. Results: BMS has a multifactorial etiopathogenesis. For its diagnosis it is necessary to carry out an exhaustive anamnesis and examination. There are 3 different types of BMS, type II being the most frequent and the most refractory to therapy. Adequate treatment is based on a correct diagnosis and must be multidisciplinary. Discussion: It is important to emphasize that it is a benign entity. The treatments are varied and there is none that stands out above the rest, which makes it difficult to manage these patients. Although the bibliography on this syndrome is abundant, important innovations in terms of etiology and treatment have not been produced in recent years. Conclusions: Anamnesis and laboratory studies are essential to rule out secondary causes of the disease. Therapy is varied and should include referral to mental health as part of multidisciplinary management.    
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San Millán-González, M., Benito-Orejas, J. I., Duque-Holguera, V., Álvarez-Álvarez, M., Losada-Campa, J., & Saboya-Romero, D. M. (2022). Burning mouth syndrome, otorhinolaryngology approach. Systematic review. Revista ORL, 14(2), e30097. https://doi.org/10.14201/orl.30097

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