Surgical Approach to a Case of Recurrent Oral Submucosal Fibrosis in a Rural Area of Central India

Abstract

Oral Submucosal Fibrosis (OSMF) is a premalignant condition that is a chronic, insidious, and incapacitating disease of the oral mucosa and oropharynx, occasionally occurring in the larynx. We bring to you a case of recurrent oral submucosal fibrosis in a 37-year-old male who presented with a gradual decrease in the extent of mouth opening. On local examination his interincisal distance was nil and there was extensive posterior buccal mucosa fibrosis bilaterally. Even after 2 previous interventions, the recurrence of his disease was high, also there is a high chance of malignant transformation thus a surgical approach was decided for him. When such a case presents to the hospital which has multiple failures of previous interventions it needs to be approached with caution and the management needs to be decided based on the benefit and the patients’ financial background and the prognosis of the intervention.