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What Causes Sub Mucosal Fibrosis?

Posted on Fri, 8 May 2015

Question: Hi, i am suffering from oral fibrosis (OSMF) since 6 month. i am only able to insert three finger. but when i open my mouth i feel pain on both side of jaw (retro moral area). as well as i have pain on my throat. i have done ultrasound for upper neck, everything is fine. please help.

Answered by Dr. Abubakar Siddiqh (19 minutes later)

Brief Answer:
Antioxidant medication.

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having sub mucosal fibrosis.

I suggest you to follow these measures to over come your oral cavity issues.

1. Ultrasound is useless in detecting the lesions of sub mucosal fibrosis.

2. 3 finger insertion, indicates, not much of trismus ( unable to open the mouth). need x-ray joint to rule out any temporo mandibular joint instability.

3. Early stages of sub mucosal fibrosis can be managed by quitting tobacco, beetel nut chewing and by taking antioxidant tablets for 3-6 months.

4. Throat pain could be due to fibrotic bands of submucosa (restricted movements of jaw)and associated pharyngitis. It can be relieved with steroid + hyalase injections and a course of antibiotics. For this, you need to reconsult an ent surgeon.

5. Mean time, take multiviamins with anti oxident combination, twice daily and pain killers like tab.brufen 400mg sos for pain.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Abubakar Siddiqh (1 hour later)

Hi doctor. Thank u so much. Could you please suggest me some antioxidant which is meant for osmf. I have tried a2z, full 365, biostatistics gold. Need a goodbone with lycopene.
Secondly any gel to apply.
How to get those injections and where they inject. Is there any progress of fibrosis as I already in medication.

Answered by Dr. Abubakar Siddiqh (1 hour later)

Brief Answer:
FULL-365

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Answers to your queries.

1. I suggest you to take FULL-365 CAPSULE, daily one for 6 months.

2. Clenora mouth gel thrice daily, local application, half an hour prior to food.

3. Discuss with your treating surgeon, he will decide after local examination of fibrotic band.

4. You may require once in two months follow-ups, to check the progress.

Hope, I have answered your query.

Take care.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Abubakar Siddiqh (8 minutes later)

Hello doctor. Once again thank for your reponse.
Few query
1. You mentioned one xray. Which one is that. Opg
2. Regarding injection can u suggest the name with brand
3. Any exercise for this or natural diet

Thanks

Answered by Dr. Abubakar Siddiqh (5 hours later)

Brief Answer:
no active exercise.

Detailed Answer:

Hello again,

1. x-ray temparomandibular joint (both) to see bony alignment causing trismus.

2. It requires medical prescription (mixer of two drugs), needs to be given under surface anesthesia (your treating doctor knows the dosage and strength).

3. 3 finger insertion doesn't require any active exercise.

Al the best. Take care.

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. Raju A.T