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Is Oral Submucous Fibrosis A Disability?

Posted on Mon, 20 Jun 2016

Question: sorry again i looked there on the website that you send me the link but its didnt see anthing about Oral submusis fiborsis or lymphadenopathy and plus my apointment is may 10 with this doctor here Dr. Rod Rezaee, MD he is ENT speicalist
i mean you saw my mouth inside you told me its oral submusis fiborsis and plust my mouth skin is so tight only one finger can go there only and when i try to blow the air in my mouth i can see the tihgtness of my skin and on the other hand side my ER doctor told me its lymphadenopathy and its is sollowen too and im gona ask him again
and either one of this how long it take to get in normal condition i mean atleast i can open the mouth and can pass the test for police what you recocmmend should i take the police test and see if they dis quilfy me for this or if its for sure that they wil disquilfy me than i dont have to even try and get the treatment first
thanks alot

Answered by Dr. Naveen Kumar Nanjasetty (25 hours later)

Brief Answer:
Oral submucous fibrosis is not a disability...

Detailed Answer:
Hi Mr. XXXXXXX

Welcome back

I sincerely apologize for the delay in answering the query.

1. That's exactly what I wanted to explain to you. There is no mention of sub mucous fibrosis as a disability. Disability is a condition which restricts a person from performing the routine works done by a normal and healthy person.

2. Mr. XXXXXXX I would like to inform you that the lymphadenopathy is not a disability. It is the swelling of the lymph nodes due to inflammation in the surrounding region. They are like policemen of the body which gets enlarged during an attack of infection or active inflammation. If you are apprehensive about that swelling, request your doctor for a FNAC (Fine Needle Aspiration Cytology).

3. Mouth opening to the normal 3 finger breadth takes a long way to go. I cannot quote the approximate duration. You should perform regular mouth opening exercises to break the hardened fibrosis. Try taking plenty of anti-oxidant rich food which can help in reducing the fibrosis.

4. I would recommend you to take the police test and see. Be confident and do not make the reduced mouth opening look very obvious. You should get through it without any hassles.

Hope this clears your doubts. Revert back to me if you have any follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (18 hours later)

But its chronic desies and for police its automatical disquilfy for chronic desise and what younthink about that

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
Yes, it is categorized under chronic diseases...

Detailed Answer:
Hello Mr. XXXXXXX

Thanks for writing back

You did make a valid point over here. Submucous fibrosis may be categorized under the chronic disease category.

So in that case, there are two options.
One, is to attend the recruitment process and take a chance and behave as if you never knew about this submucous fibrosis (unless they raise this issue). Second, you can try getting laser guided release of the fibrous bands, which helps in increased mouth opening. Later, you can follow the recruitment process.

Any how, you need to wait for another one week till you meet your specialist. He will be able to guide you after a thorough evaluation.

Wish you good health

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (44 minutes later)

Bc if i go for the police they have to make sure everything okay bc one of my friend went laat month he told me they check the whole miuth and throut so thats why i will just wait untill its get normal or atleast it look normal 2nd where incan get the leaser surgery bc i wqs looking all over the internet cant find it and 2nd one doctor so but he is in XXXXXXX and i cant go there bc i born in palkistan and few days ago if you got that espicality i can come to you bc i saw you in oman and 2nd if u know some on who do leaser sergery here in the usa i can go there and im waiting for my ent speiclaist that is next week and see what he say and let him figure it out whats going on , if u need to see i can make the movie of my mouth so u can see it thanks in advance and if posible if you give me your number or email where i can discus with you

Answered by Dr. Naveen Kumar Nanjasetty (21 hours later)

Brief Answer:
You can inquire with your ENT specialist regarding the laser treatment...

Detailed Answer:
Hi

Thanks for writing back

I would rather suggest you to wait till you meet the ENT specialist and he will be able to guide you accordingly. You can as well inquire with that specialist regarding the treatment modalities and whether he is performing the laser surgery. Laser surgery should be available in most of the centers in US.

Yes, if you can make a video clip and send me the link, I may be able to confirm the diagnosis and help you in a better way.

Mr. XXXXXXX I'm sorry! Online consultation rules doesn't allow me to disclose my personal email id or my phone number.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Naveen Kumar Nanjasetty (22 hours later)

here is the complete link for my mouth vedio and pic and its in zip
https://www.YYYYY.com/s/97zkv4dlbd90fdw/khan.zip?dl=0

here is the link for my lym https://www.YYYYY.com/s/l6adb6n817h5s3n/IMG_0810.JPG?dl=0
here is the link for lym 2nd pic
https://www.YYYYY.com/s/1lph9zof0ynudn3/IMG_0811.JPG?dl=0
here is the vedio for my mouth https://www.YYYYY.com/s/yybcupiegb8vizt/IMG_0860.m4v?dl=0
here is the the 2nd vedio for my mouth
https://www.YYYYY.com/s/e1f6u871snyyvs4/IMG_0861.m4v?dl=0
and here is the pic of my jaws
https://www.YYYYY.com/s/hktlv7vsbea082q/IMG_0862.jpg?dl=0

thanks you so muc doctor im waiting for your responce

Answered by Dr. Naveen Kumar Nanjasetty (28 hours later)

Brief Answer:
My diagnosis is right... Oral submucous fibrosis...

Detailed Answer:
Hello Mr. XXXXXXX

Thanks for writing back

I have examined the videos and the images thoroughly. I would like to stick to my diagnosis. Secondly, I could not appreciate the lymph node in the images. Palpation of the lymph node would be ideal way of identifying the same. But, a fine needle cytology or excision biopsy can confirm the cause of enlargement of the lymph nodes. Please wait for few more days before you meet the specialist doctor. He will able to give the correct information regarding the recruitment.

Hope this clears your doubts. Wish you good luck and good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (19 minutes later)

Thank you so much for responding back you think oral submuscous fibrosis is treatable here in the usa , and you reviewed the video by that can you tell what stage is that and its not canser and what is yhe treatment for that and how long that will take or it totaly depond thanks in advance

Answered by Dr. Naveen Kumar Nanjasetty (11 hours later)

Brief Answer:
OSMF is in grade 3...

Detailed Answer:
Hello Mr. XXXXXXX

Welcome back

Your oral submucous fibrosis (OSMF) of yours is in grade 3. There are no drugs as of now which can cure this completely. The following medicines can be tried to reduce the OSMF:
1. Intramucosal steroid with or without hyaluronidase can tried.
2. Pentoxifyllin taken orally can help in reliving the ankylosis.
3. Submucosal injection of placental extract can be tried.

Hope this gives you some peace of mind.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (3 days later)

So i went to doctor today ent and he check everything he said there is nothing to worry noncanser or anything and he check my thorought and ear and noise ineven told him one of the doctor ( you ) told me its oral submucus fibrosis and he check my mouth akin and he asked me for ct scan and he alao tols me use the therebite dives and also reffer me to Oral and Maxillofacial Surgery he sais this docotr will help and i also asked him about the police joing he said it not a problem bc if they disquilfy u i can weite down the note for u and i also asked him about the surgery and injection he said we may need that but right now we dont need ao what do unthink and thank jn advance

Answered by Dr. Naveen Kumar Nanjasetty (15 hours later)

Brief Answer:
Thanks for your feedback...

Detailed Answer:
Hello Mr. XXXXXXX

Welcome back

It's very nice of you for giving this feedback. Orofaciomaxillary (OFM) surgeon will indeed help you in getting this problem solved. As advised by your doctor, you can attend the interview for the police recruitment. If they reject (hope they don't), then the doctor can be more proactive in solving this issue.

Once you consult OFM surgeon, he will take a call on what would be the best mode of treatment for you. Meanwhile, consume plenty of fresh fruits and vegetables. These are the rich source of vitamins and anti-oxidants, which can help in faster healing. Drink plenty of water, do regular mouth opening exercises and maintain the oral hygiene.

I wish you good health and good luck.

With best regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad