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My Husband Has Been Suffering From Osmf Since 4 Years.

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Posted on Mon, 25 Nov 2019
Question: My husband has been suffering from osmf since 4 years. His mouth opening is three fingers. He has quit the habit. I have come to know that it progresses slowly. I am in great anxiety thinking that it will leads to cancer. If this happen I will be in great trouble. Please suggest.
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
There is no cause for worry.

Detailed Answer:
Hi,

Thank you for your query.

1. OSMF (Oral Sub-Mucous Fibrosis) is best managed by stopping areca nut, betel nut, tobacco or gutkha use. Rarely it can be due to other factors such as auto-immune factors, eating very spicy food and so on.

2. The sub-mucous fibrosis is irreversible.

3. Some relief in moth opening can be achieved by injecting Kenacort (triamcinolone) in the retro-molar trigone area once a week for 6-8 weeks. Use of a local anaesthetic spray before injecting this steroid helps avoid discomfort and pain while injecting.

4. Though OSMF is considered premalignant, regular careful observation and examination is all that is required if the above-mentioned is done. It is then unlikely to progress to a cancer.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sumit Bhatti (2 hours later)
Hello doctor
Thanks for your answer. I would like to ask is the progression can be stopped ?
doctor
Answered by Dr. Sumit Bhatti (8 hours later)
Brief Answer:
Yes.

Detailed Answer:
Hi,

Thank you for your query.

1. If you follow the instructions in my previous answer, you can slow down and even stop the progress of OSMF.

2. Stop the offending agent/s.

3. Investigate for other factors such as auto-immune factors. Stop eating very spicy food.

4. Relief in mouth opening can be achieved by injecting Kenacort (triamcinolone) in the retro-molar trigone area once a week for 6-8 weeks. Use of a local anaesthetic spray before injecting this steroid helps avoid discomfort and pain while injecting.

5. Regular careful observation and examination.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumit Bhatti (7 hours later)
Hello doctor
My husband has quit the habit and do not take spicy food. So if progression slow down how much years it take to convert into oral cancer ?
doctor
Answered by Dr. Sumit Bhatti (26 minutes later)
Brief Answer:
Very unlikely.

Detailed Answer:
Hi,

Thank you for following up.

1. If he is taking all precautions, the OSMF is highly unlikely to progress to a cancerous stage.

2. However, regular observation and examination is advised at 3 to 6 monthly intervals for at least 10 years after stopping the offending agent/s and habits.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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My Husband Has Been Suffering From Osmf Since 4 Years.

Brief Answer: There is no cause for worry. Detailed Answer: Hi, Thank you for your query. 1. OSMF (Oral Sub-Mucous Fibrosis) is best managed by stopping areca nut, betel nut, tobacco or gutkha use. Rarely it can be due to other factors such as auto-immune factors, eating very spicy food and so on. 2. The sub-mucous fibrosis is irreversible. 3. Some relief in moth opening can be achieved by injecting Kenacort (triamcinolone) in the retro-molar trigone area once a week for 6-8 weeks. Use of a local anaesthetic spray before injecting this steroid helps avoid discomfort and pain while injecting. 4. Though OSMF is considered premalignant, regular careful observation and examination is all that is required if the above-mentioned is done. It is then unlikely to progress to a cancer. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.