Скачать или смотреть ORAL SUBMUCOUS FIBROSIS(white lesion of oral cavity)

notes on oral submucous fibrosis which is the white lesion of oral cavity
Introduction
Oral submucous fibrosis is a premalignant condition
It was first described by SCHWARTZ as “ATROPIC IDIOPATHIC MUCOSA ORIS”
Later named as Oral submucous fibrosis by JOSHI
Definition
Oral submucous fibrosis is a chronic, progressive scarring high risk premalignant condition of oral mucosa and sometimes pharynx characterized by mucosal rigidity caused due to fibro elastic hyperplasia and alteration in the superficial connective tissue.

CLINICAL FEATURES
ONSET:Insidious
AGE:Young adults
GENDER:Femle predilection
SITE:
Buccal Mucosa
Retromolar area
Soft palate
Symptoms
Prodomal symptoms
Mouth burning sensation
Stomatopyrosis
Xerostomia
Altered taste
Blisters ,ulcers,vesicles,petechiae seen on palate and oral mucosa
Advanced symptoms
Oral mucosa becomes blanched and opaque
White fibrous bands appear on oral mucosa
TRISMUS
Atrophy of tongue papillae
Dysphagia (difficulty in swallowing)
Difficulty in blowing
Histopathological features:
EPITHELIUM :Hyperkeratosis
Atrophic stratified squamous
CONNECTIVE TISSUE:
Juxtaepithelial hyalinization
BUNDLES of avascular collagen fibers
Treatment and prognosis
Cessation of habit
Cessation of habit
Nutritaional supplement b complex
Surgical splitting or excision of fibrous bands
Intralesional corticosteroids

Nutritaional supplement b complex
Surgical splitting or excision of fibrous bands
Intralesional corticosteroids


Inflammatory cells :plasma cells
Lymphocytes seen