Oral Submucous Fibrosis
Oral Submucous Fibrosis
Oral Submucous Fibrosis
AND RADIOLOGY
A Case Report on
ORAL SUBMUCOUS
FIBROSIS
Submitted by
SAYED NABI AHAMED
ORAL SUBMUCOUS FIBROSIS
INTRODUCTION:
LABORATORY INVESTIGATIONS:
Routine blood examination.
Scanning and transmission electron microscopy.
Biopsy.
MANAGEMENT:
Restriction of habit / behavioural therapy.
Medicinal therapy.
B complex preparation
Corticosteroids
Placental extract
Hyaluronidase
Vitamin E
Surgical treatment.
Excision of fibrous bands followed by use of
tongue flap
CO2 laser surgery
Cryosurgery
Oral physiotherapy
Diathermy
CASE REPORT
Name : Vajravel
Age : 40 years
Sex : Male
Occupation : Farmer
O.P. No. : 21470
Address : Erugaloor, Kattur, Sangakiri,
Salem.
CHIEF COMPLAINT
Patient complains of loosening of tooth in
right upper and lower back region for the past
HISTORY OF PRESENT ILLNESS
Patient was apparently normal before 1 year
and then he developed pain and loosening of
tooth in right upper and lower back region and
restricted mouth opening on both sides of the
cheek region.
FAMILY HISTORY
No relevant history
PERSONAL HISTORY
Marital status : Married
Brushing habit : Brushes with brush and paste
Deleterious habits:
Smoking / alcohol : Nil
Tobacco chewing : Had the habit before one
year
CLINICAL EXAMINATION
GENERAL EXAMINATION
Built : Moderately built
Temperature : Afebrile
Pulse : 75/min
GAIT : Normal
Posture : Normal
Clubbing : Absent
EXTRA-ORAL EXAMINATION
Growth
Swelling
Sinus
Fistula No abnormalities detected
TMJ
Facial pain
INVESTIGATION
Biopsy
FINAL DIAGNOSIS
ORAL SUB MUCOUS FIBROSIS
TREATMENT PLAN
Stop habit of tobacco chewing.
Medically:
Cap. Antoxid 0-0-1 7 days
Multivitamin supplement
Intralesional injection of corticosteroids.
Surgically:
Excision of fibrous bands.
FRONTAL VIEW
BUCCAL MUCOSA – LEFT
BUCCAL MUCOSA - RIGHT
DEPAPILATED TONGUE
SHRUNKEN UVULA