Oral Submucous Fibrosis (OSMF) is a chronic progressive condition affecting the oral cavity and pharynx. It's characterized by inflammation and progressive fibrosis of the submucosal tissues, leading to marked rigidity and reduced mouth opening capacity.
Mouth opening >35mm, early symptoms, burning sensation
Mouth opening 25-35mm, difficulty with spicy foods
Mouth opening <25mm, significant functional impairment
Detailed evaluation of mouth opening, staging, and cancer screening.
Critical first step - complete cessation of areca nut and tobacco use.
Medications, supplements, and physiotherapy for mouth opening exercises.
Advanced cases may require surgical release and reconstruction.
Cutting fibrous bands to improve mouth opening
Using skin or buccal fat pad grafts for defect coverage
Advanced reconstruction using local or distant flaps
Early stages can show significant improvement with treatment, but advanced fibrosis may have permanent effects.
Absolutely critical. Continued use will cause progression despite treatment. Complete cessation is the first step.
Surgery is reserved for advanced cases that don't respond to medical management and have severely limited mouth opening.
OSMF is considered a potentially malignant disorder with increased cancer risk, making regular monitoring essential.
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