Effectiveness of Long Term Supervised and Assisted Physiotherapy in Postsurgery Oral Submucous Fibrosis Patients

Kale, Saurabh; Srivastava, Nikhil; Bagga, Vivek; Shetty, Akshay

doi:10.1155/2016/6081905

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…In a study done by Kale et al, they found that adequate mouth opening of 43 mm at 6 months was achieved by surgical intervention followed by vigorous mouth opening physiotherapy exercise in the single patient that was included in their case report. 14…”

Section: Discussionmentioning

confidence: 99%

Surgical management of advanced oral submucous fibrosis: our experience

Mishra

Patel

Sharma

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Severe oral submucous fibrosis (OSMF) poses problem with maintenance of oral hygiene,detection of malignancies and maintenance of nutrition. Surgical treatment includes release of fibrous bands with or without reconstruction for the raw area and postoperative physiotherapy.Methods: All cases with OSMF who underwent surgical management at our institute were included in our study. The demographic data, preoperative interincisor distance, local examination was recorded. All patients underwent contrast enhanced computed tomography scan of head and neck to rule out hidden malignancy. All cases underwent OSMF band release with or without reconstruction. All patients were instructed for vigorous mouth opening exercise. All patients were followed upto 6 months and further divided into two groups depending upon whether they followed physiotherapy advice or not.Results: 13 patients of age group 18-47 years were included in our study. Male to female ratio was 1.6:1. Pre-operative mean interincisor distance was 7.5 mm whereas post-operative it was 19.5 mm. Patients who had followed mouth opening exercise were having a mean increase of 15 mm more as compared to those who did not.Conclusions: Even after surgical management of severe OSMF, mouth opening exercise remains the key factor for maintenance of mouth opening.

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Section: Discussionmentioning

confidence: 99%

Surgical management of advanced oral submucous fibrosis: our experience

Mishra

Patel

Sharma

2019

Int J Otorhinolaryngol Head Neck Surg

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“…Aversion of the patient towards physiotherapy is primarily attributed either to negligence and underestimation of its importance or post-operative pain. 4 The indispensable role of physiotherapy might also be obstructed if there is a co-existence of another debilitating condition incapacitating the patient. Such a possibility can be explored with respect to the presence of an elongated styloid process (ESP) which could contribute adversely to the failure of the treatment outcome.…”

Section: Introductionmentioning

confidence: 99%

Is elongated styloid process a potential forewarning for failure in oral submucous fibrosis management?

Patel¹,

Mehta²,

Rupawala³

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Oral submucous fibrosis is a widespread, premalignant disorder causing severe difficulty in mastication and speech. With high rate of malignant conversion, it demands aggressive surgical therapy followed by mandatory long-term physiotherapy. An elongated styloid process, if present, could pose a strong hindrance to movement of mandible, leading to complete relapse of trismus in such cases. The purpose of this report is to elaborate on such co-existence in patients having oral submucous fibrosis using digital orthopantomogram. 3 patients suspected to have an elongated styloid process were referred to maxillofacial surgical unit and diagnosed with grade 4A oral submucous fibrosis. Digital orthopantomogram revealed elongated styloid process which was measured using the C. S. imaging software 7.0.3. Consequently, patients were operated by a team of maxillofacial surgeons and otolaryngologists to relieve trismus and tonsillo-styloidectomy respectively. The measured lengths of the styloid process on digital orthopantomogram were considered elongated, if exceeding the normal length of 30 mm. The measured lengths of the styloid process were found to be at 52.7 mm, 50.1 mm and 57 mm on the right side and 51 mm, 46.8 mm and 37 mm on left side respectively in our cases. These elongated styloid processes observed in all three cases of submucous fibrosis indicates that progressive fibrosis may exert significant influence on the ossification of styloid complex. Hence, a routine preoperative screening in all patients of oral submucous fibrosis is imminent to avoid postoperative failure, pain or discomfort to the patient owing to an elongated styloid process.

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“…It is a precancerous, debilitating condition, forming a major portion of the disease spectrum encountered when the patients present to both general dentists and oral and maxillofacial surgeons alike. It is progressive and insidious in nature, causing epithelial atrophy which hastens malignant transformation in about 7-30 % and dysplasia in 25 % of cases [3,4]. Disturbingly, this malady has gained attention of the youth and children, especially males, due to the popularity of commercially prepared arecanut and tobacco preparations with 20 million Indian farmers engaged in tobacco production.…”

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confidence: 99%

Oral Submucous Fibrosis and Elongated Styloid Process - Do they have an Alarming Inter-Connection?

Patel¹,

Mehta²,

Rupawala³

et al. 2020

Act Sci Otal

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Oral Submucous Fibrosis is a premalignant condition affecting a considerable population around the world. The surge in the use of arecanut and tobacco products has led to monumental rise in young patients complaining of trismus and inability to eat. Although, the condition can be effectively managed through surgery followed by physiotherapy, its incessant subclinical progression often restores the intraoral fibrosis once physiotherapy is discontinued, most commonly due to pain. In this respect, it was intriguing to notice many such patients eliciting an elongated styloid process which may be consequent to activation of Transforming Growth Factor-beta due to chronic trauma or inflammation. This growth factor is also involved in marked deposition of collagen forming intraoral fibrous bands. Hence, if a definite association can be delineated between the two conditions, through radiographic examination on an orthopantomogram, clinicians can be alerted to diagnose an elongated styloid process whenever a case of oral submucous fibrosis presents in the clinical practice. This simple yet significant protocol shall eliminate a prominent cause of pain during mouth opening exercises thus making the chances of treatment failure negligible.

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Effectiveness of Long Term Supervised and Assisted Physiotherapy in Postsurgery Oral Submucous Fibrosis Patients

Cited by 4 publications

References 8 publications

Surgical management of advanced oral submucous fibrosis: our experience

Surgical management of advanced oral submucous fibrosis: our experience

Is elongated styloid process a potential forewarning for failure in oral submucous fibrosis management?

Oral Submucous Fibrosis and Elongated Styloid Process - Do they have an Alarming Inter-Connection?

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