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Treatment of Oral Submucous Fibrosis

Treatment of Oral Submucous Fibrosis

Treatment of Oral Submucous Fibrosis

Oral submucous fibrosis is a condition that is mostly associated with the use of areca nut, a component of betel quid and is widespread among South Asian populations.  It produces grimness (loss of oral function as tissues stiffen and mouth opening becomes difficult) and death (when developed into squamous cell carcinoma happens). This is an extremely severe and persistent pre-cancerous disorder that damages the oral cavity as well as the pharynx. It produces submucosal tissue fibrosis and juxta-epithelial inflammatory responses. This condition also causes fibro-elastic alterations in the lamina propria, as well as epithelial atrophy and stiffness of the oral mucosa. Because of the excessive stiffness of the jaw, opening the mouth could become impossible.

Oral Submucous Fibrosis Symptoms
The early stage of oral submucous fibrosis is identified by a leathery sensation in the mucosa, as well as noticeable fibrotic bands. The mucosa loses its flexibility and becomes rigid and pale as the condition worsens. This ailment is considered to develop at the back of the mouth and spread to the outer parts. The following are some of its clinical characteristics:
  • Change of taste
  • Dryness of mouth
  • Nasal intonation of the voice
  • Trismus
  • Earache
  • Recurrent ulceration
  • Soft palate mobility is hindered
  • Small tongue
  • Increased salivation
  • Shrinking of the uvula
  • Difficulty in swallowing solid foods
  • Stiffening and thinning of the lips
Oral Submucous Fibrosis Diagnosis & Treatment

To initiate the diagnostic procedure, Dr. Changule will start by taking a comprehensive medical history. They will address details regarding the patient’s current symptoms and any previous diagnoses. During the clinical examination, Dr. Changule will carefully examine the patient’s body for physical indicators of the medical condition. Depending on the symptoms presented, the procedures employed during the exam may vary. Based on the results of the medical history and physical examination, Dr. Changule will determine if further diagnostic tests such as lab tests, imaging tests, or clinical treatments are necessary to pinpoint the source of the patient’s health concerns.