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Войти в исследования Journal of oral and maxillofacial pathology : JOMFP · 2025
Correlation of blanching, fibrosis, and uvular changes with the extent of mouth opening in oral submucous fibrosis - A 9-year retrospective analysis.
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Sharma Sneha R, Chavan Samiksha, Karjodkar Freny R, Sansare Kaustubh, Khelkar Prajakta, Unnikrishnan Aswathi
Аннотация
BACKGROUND: Oral submucous fibrosis (OSF) has one of the highest malignant transformation rates among all potentially malignant disorders. An early diagnosis and staging of the condition with the help of clinical findings may help in the improvement of the prognosis.
AIM: To evaluate the correlation of stages of OSF based on mouth opening with the presence of blanching, fibrous bands, and shape of the uvula.
MATERIALS AND METHODS: A retrospective, observational study was conducted in the Department of Oral Medicine and Radiology, and 1,267 case records were included in the study after the evaluation of patient data. Changes in mouth opening, fibrosis, blanching, and uvula were noted and analyzed using the Chi-square test.
RESULTS: The highest incidence of fibrous bands and blanching was seen on buccal mucosa in Group C. Blanching ranged from 65% to 93% in all stages of the disease, and blanching on the palate was seen to be the highest in Group A. The percentage of Group D patients with deviated uvula (26%) was lower than that of Group A patients (38%).
CONCLUSION: Clinical findings like the fibrous bands, blanching, and deviation of the uvula contribute to the assessment of severity of the disease, and grading OSF only based on mouth opening, though simple and convenient, might inadequately represent the disease severity.
AIM: To evaluate the correlation of stages of OSF based on mouth opening with the presence of blanching, fibrous bands, and shape of the uvula.
MATERIALS AND METHODS: A retrospective, observational study was conducted in the Department of Oral Medicine and Radiology, and 1,267 case records were included in the study after the evaluation of patient data. Changes in mouth opening, fibrosis, blanching, and uvula were noted and analyzed using the Chi-square test.
RESULTS: The highest incidence of fibrous bands and blanching was seen on buccal mucosa in Group C. Blanching ranged from 65% to 93% in all stages of the disease, and blanching on the palate was seen to be the highest in Group A. The percentage of Group D patients with deviated uvula (26%) was lower than that of Group A patients (38%).
CONCLUSION: Clinical findings like the fibrous bands, blanching, and deviation of the uvula contribute to the assessment of severity of the disease, and grading OSF only based on mouth opening, though simple and convenient, might inadequately represent the disease severity.