Beruflich Dokumente
Kultur Dokumente
By Saurabh Sharma
Defination
Submucous fibrosis is a chronic mucosal condition affecting any part of the oral mucosa, characterized by mucosal rigidity of varying intensity due to fibroelastic transformation of the juxtaepithelial connective tissue layer
History
In 1952, J.Schwartz described five Indian women from Kenya with a condition of the oral mucosa including the palate and pillars of the fauces, which he called "atrophia idiopathica (tropica) mucosae oris S.G. Joshi subsequently coined the termed oral submucous fibrosis (OSF) for the condition in 1953.
Epidemiology
OSMF is a fibrotic disorder seen commonly in India and Indian subcontinent. Sporadic cases are seen in Malaysia, Nepal, Thailand and South Vietnam. Incidence of OSMF in India is 2-5 % of population. Persons between 20 and 40 years of age are most commonly affected ,but ages have ranged from 2 to 89 years of age
Etiology
Exact etiology is unknown. The suggested factors are 1. Chronic Irritation Areca Nut Chilies Lime Betel nut Tobacco Chewing 2. Deficiency disease. 3. Defective iron metabolism 4. Bacterial Infection 5. Collagen disorder 6. Immunological disorders 7. Genetic disorder. 8. Alcohol
Prodromal Symptoms
The most common initial symptoms are: Burning sensation on eating spicy food Blisters on the palate Ulceration or recurrent stomatitis Excessive salivation
tubes
Sites :- Buccal Mucosa, Palate, Retro Molar area, Lips,Tongue, Uvula,Gums Clinically discernible blanching and pallor
Signs
Normal Anatomy
Blanching
Buccal Mucosa
Palate
Tongue
Gums
Uvula
Lips
present.
Group IVA: Trismus is severe, with an interincisal distance of less than 15 mm and extensive fibrosis of all the oral mucosa.
Group IVB: Disease is most advanced, with premalignant and malignant changes throughout the mucosa.
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