Agrawal Palak, Gupta Chetan, Bhola Nitin, Pawar Shreya S, Sonpal Parmarth M, Gattani Vaishnavi
Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, IND.
Cureus. 2024 Jun 7;16(6):e61916. doi: 10.7759/cureus.61916. eCollection 2024 Jun.
A chronic, persistent, possibly cancerous condition that mostly affects the oral cavity is called oral submucous fibrosis (OSMF) and causes severe functional impairment. Due to its complex nature, OSMF requires a comprehensive strategy that includes both surgical and medication therapies. Multidisciplinary treatment was started, which included a complete stoppage of habit, dental hygiene precautions, dietary counselling, surgical intervention, supportive medicinal therapy, and physiotherapy. Following surgery and adjunct therapy, the patient's mouth opening and functional results were improved. The patient is kept for regular follow-up to assess the recurrence of fibrosis or any incidence of malignant transformation. This case emphasizes the difficulties in treating advanced OSMF and emphasizes how crucial it is to improve patient outcomes by early detection, stopping betel nut chewing, and thorough multidisciplinary care.
一种主要影响口腔的慢性、持续性、可能癌变的病症称为口腔黏膜下纤维化(OSMF),它会导致严重的功能障碍。由于其性质复杂,OSMF需要一种包括手术和药物治疗的综合策略。开始了多学科治疗,包括完全戒除习惯、口腔卫生预防措施、饮食咨询、手术干预、支持性药物治疗和物理治疗。经过手术和辅助治疗后,患者的张口度和功能结果得到了改善。对患者进行定期随访,以评估纤维化的复发情况或任何恶变发生率。该病例强调了治疗晚期OSMF的困难,并强调了通过早期发现、停止嚼槟榔以及全面的多学科护理来改善患者预后的重要性。