SURGICAL MANAGEMENT OF ORAL SUBMUCOUS FIBROSIS: Case Report and Review Article

Abstract

Objective: To assess the outcome of different surgical treatment modalities of Oral Submucous Fibrosis.

Background: Oral Submucous Fibrosis (OSF) is a persistent, progressive, pre-cancerous condition of the oral mucosa, which is mainly related with betel quid chewing habit. OSF is strongly connected with the risk of oral cancer. Since decades, many treatment modalities are suggested and studied like medicinal treatment, intralesional injection and physiotherapy or surgical treatments with varying degrees of benefit. But complete eradication of disease is challenging. The present article shows the outcome of various surgical treatment modalities in the management of this condition,

Method: In this article a total of 4 patients who were clinically and histologically diagnosed as Oral Submucous Fibrosis, grouped according to classification system for the surgical management of OSF proposed by Khanna JN and Andrade NN. Out of 4 patients 1 patient undergone fibrectomy with collagen membrane placement, 1 patient undergone fibrectomy with buccal fat pad placement in 1 case fibrectomy was done with Laser, in advanced cases coronoidectomy was done.

Conclusion: In oral submucous fibrosis Fibrectomy followed by grafting is a one of the suggested treatment for prevention of the recurrence of the condition but advanced procedure like coronoidectomy gives better results related to the clinical mouth opening.