DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20193872

Surgical management of advanced oral submucous fibrosis: our experience

Girish Mishra, Jaykumar Patel, Yojana Sharma

Abstract


Background: Severe oral submucous fibrosis (OSMF) poses problem with maintenance of oral hygiene,detection of malignancies and  maintenance of nutrition. Surgical treatment includes release of fibrous bands with or without reconstruction for the raw area and postoperative physiotherapy.

Methods: All cases with OSMF who underwent surgical management at our institute were included in our study. The demographic data, preoperative interincisor distance, local examination was recorded. All patients underwent contrast enhanced computed tomography scan of head and neck to rule out hidden malignancy. All cases underwent OSMF band release with or without reconstruction. All patients were instructed for vigorous mouth opening exercise. All patients were followed upto 6 months and further divided into two groups depending upon whether they followed physiotherapy advice or not.

Results: 13 patients of age group 18-47 years were included in our study. Male to female ratio was 1.6:1. Pre-operative mean interincisor distance was 7.5 mm whereas post-operative it was 19.5 mm. Patients who had followed mouth opening exercise were having a mean increase of 15 mm more as compared to those who did not.

Conclusions: Even after surgical management of severe OSMF, mouth opening exercise remains the key factor for maintenance of mouth opening.


Keywords


Oral submucous fibrosis, Surgical management of advanced oral submucous fibrosis, Mouth opening exercise

Full Text:

PDF

References


Rajendran R. Oral submucous fibrosis: etiology, pathogenesis, and future research. Bull World Health Organ. 1994;72(6):985-96.

Karemore TV, Karemore VA. Etiopathogenesis and treatment strategies of oral submucous fibrosis. J Indian Acad Oral Med Radiol. 2011;23(4):598-602.

Paymaster JC. Cancer of the buccal mucosa. A clinical study of 650 cases in Indian patients. Cancer. 1956;9(3):431-5.

Koneru A, Hunasgi S, Hallikeri K, Surekha R, Nellithady GS, Vanishree M. A systematic review of various treatment modalities for oral submucous fibrosis. J Advan Clin Res Insights. 2014;1(2):64-72.

Borle RM, Borle SR. Management of oral submucous fibrosis: a conservative approach. J Oral Maxillofac Surg. 1991;49(8):788-91.

Khalam SA, Zachariah RK. Fibrotomy with bilateral coronoidectomy without reconstruction in the surgical management of oral submucous fibrosis. Health Sci. 2013;4(2):1-7.

Kumar SB, Muthumani T, Abudakir I, Vijay E, Balakrishanan, Shubhankar P. Oral submucous fibrosis: review of literature. Res J Pharma, Biol Chem Sci. 2014;5(6):680-6.

Faisal M, Rana M, Shaheen A, Warraich R, Kokemueller H, Eckardt AM, et al. Reconstructive management of the rare bilateral oral submucos fibrosis using nasolabial flap in comparison with free radial forearm flap-a randomised prospective trial. Orphanet J Rare Dis. 2013;8(1):56.

Alshadwi A, Bhatia I. Excision of oral submucous fibrosis and reconstruction with full thickness skin graft: a case study and review of the literature. Case Report Dent. 2012;2012:628301.

Balakrishnan R, Ebenezer V, Kumar SB, Muthumani. Surgical management of osmf with coronoidectomy and buccal fat pad replacement- a case report. Biosciences biotechnology research Asia. 2014;11(2):883-6.

Vijayakumar M, Priya D. Physiotherapy for improving mouth opening and tongue protrution in patients with Oral Submucous Fibrosis (OSMF)-case series. Int J Pharma Sci Health Care. 201;3(2):52-8.

Thakur N. Effectiveness of micronutrients and physiotherapy in the management of oral submucous fibrosis. Int J Contempy Dent. 2011;2(1).

Cox S, Zoellner H. Physiotherapeutic treatment improves oral opening in oral submucous fibrosis. J Oral Pathol Med. 2009;38(2):220-6.

Kale S, Srivastava N, Bagga V, Shetty A. Effectiveness of long term supervised and assisted physiotherapy in postsurgery oral submucous fibrosis patients. Case Report Dent. 2016;2016:6081905.