A Case of Advanced Oral Submucous Fibrosis Management: Beyond Conventional Approach

Area of Science:

• Oral Medicine
• Oncology
• Surgical Pathology

Background:

• Oral submucous fibrosis (OSMF) is a chronic, potentially malignant oral cavity condition causing severe functional impairment.
• Its complex etiology necessitates a comprehensive treatment strategy involving both surgical and pharmacological interventions.

Observation:

• A multidisciplinary treatment approach was implemented, encompassing habit cessation (betel nut chewing), oral hygiene, dietary counseling, surgical intervention, supportive medication, and physiotherapy.
• The patient presented with advanced OSMF, highlighting the challenges in managing such cases.

Findings:

• Following surgery and adjunct therapies, significant improvements were observed in the patient's mouth opening and overall functional capacity.
• Regular follow-up is crucial for monitoring potential recurrence of fibrosis and malignant transformation.

Implications:

• This case underscores the critical importance of early detection and intervention for improving patient outcomes in advanced OSMF.
• A thorough, multidisciplinary care approach is essential for effectively managing OSMF and preventing its progression.