口腔白斑经常受到耳鼻喉科医生和口腔颌面外科医生的关注。由于缺乏一致的实践管理指南，口腔白斑的实践模式存在异质性。对于治疗口腔白斑的医疗提供者实践模式的特征性描述，有助于建立医疗标准和未来的实践指南。美国头颈肿瘤学会癌症预防服务设计了一份调查，收集了有关口腔白斑治疗的人口统计和实践管理数据。该调查已获批准，并分发给美国耳鼻喉科头颈外科学会和美国口腔颌面外科医师协会的成员。数据分析使用卡方检验和t检验等方法进行。共收集了396份答案：83名口腔颌面外科医师，81名头颈部专业医师和232名耳鼻喉科医生（非头颈部专业医师）。医疗提供者接诊了大量口腔白斑患者（23.0% > 30例/年，35.1% 11-30例/年，41.2% 10例或10例以下/年），其中口腔颌面外科医师接诊了更多口腔白斑患者。最常与首次活检考虑有关的因素包括体格检查结果（94.4%），红斑（82.3%）和吸烟史（81.6%）。大多数受访者在1个月内（24.8%）或1-3个月内（46.5%）对患者进行随访。本调查确定了口腔白斑首次管理的一系列实践模式，包括活检的适应症和随访时间。这些数据揭示了不同医疗提供者之间的实践模式，并有可能导致建立口腔白斑首次管理的共识指南。版权所有©2023 Elsevier Ltd。保留所有权利。

Oral leukoplakia is encountered frequently by otolaryngologists and oral and maxillofacial surgeons (OMFS). There are no consensus practice management guidelines for oral leukoplakia, resulting in heterogeneity in practice patterns. Characterization of practice patterns of providers who treat oral leukoplakia will be valuable to establish standards of care and future practice guidelines.A survey was designed by the American Head and Neck Society Cancer Prevention Service collecting demographic and practice management data for treating oral leukoplakia. The survey was approved and distributed to members of the American Academy of Otolaryngology-Head and Neck Surgery and American Association of Oral and Maxillofacial Surgeons. Data analysis was performed using chi square and t-test where appropriate.396 responses were collected: 83 OMFS, 81 head and neck fellowship-trained providers, and 232 otolaryngologists (non-head and neck fellowship-trained). Providers saw a wide volume of oral leukoplakia (23.0% >30 cases/year, 35.1% 11-30 cases/year, 41.2% 10 or less cases/year), with OMFS seeing more cases of oral leukoplakia. Factors most associated with consideration of initial biopsy included physical exam findings (94.4%), erythroplakia (82.3%), and smoking status (81.6%). The majority of respondents saw patients in follow-up within 1 month (24.8%) or within 1-3 months (46.5%).This survey identifies a range of practice patterns in initial management of oral leukoplakia, including indications for biopsy, and time for follow-up. This data provide insight into practice patterns amongst different groups of providers and can potentially lead to consensus guidelines for initial management of oral leukoplakia.Copyright © 2023 Elsevier Ltd. All rights reserved.