Symptoms of Oral Submucosal Fibrosis: Our Experience with Intralesional Injection Treatment

Author:

Dhond PV,Yadav Rajesh,Mittal Mudit,Kant Shashi

Abstract

ABSTRACTObjectiveThis study evaluates the symptoms and effects of peroral intralesional injections in relieving the symptoms of oral submucosal fibrosis (OSMF) in our clinical settings.Study designRetrospective clinical review at a primary care hospital of 32 patients with extensive OSMF who underwent peroral intralesional injections of steroid, hyaluronidase, placentrex and lignocaine performed in office setting.ResultsThe main symptoms were change in color of buccal mucosa, trismus, burning mouth, vesicles in oral cavity. All patients experienced considerable improvement in their symptoms over a duration of 2 to 6 weeks.ConclusionsThough, a large number of Indian population is suffering and seeking treatment for OSMF, unfortunately not much has been done in this area. It is difficult to find studies on peroral intralesional injection technique. When there is lack of reliable evidence of oral submucosal fibrosis treatment, the old technique of peroral intralesion shots of steroid, hyaluronidase, placentrex in lignocaine is safe and effective in resolving the symptoms associated with OSMF. The therapy is very cost effective and also reduces the need of surgery.

Publisher

Jaypee Brothers Medical Publishing

Reference20 articles.

1. Dhingra PL. Common disorders of oral cavity: Diseases of ear, nose and throat (3rd ed). New Delhi: India, Elsevier 2004;265-67.

2. Shimkhada, John W, Riti and Peabody. Tobacco control in India. Bulletin of the World Health Organization 2003;81:48-52.

3. Epidemiological and etiological study of oral submucous fibrosis among gutkha chewers of Patna, Bihar, India

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