Sneha R Sharma, Samiksha Chavan, Freny R Karjodkar, Kaustubh Sansare, Prajakta Khelkar, Aswathi Unnikrishnan
{"title":"口腔黏膜下纤维化患者的变白、纤维化和小舌变化与开口程度的相关性——一项9年回顾性分析。","authors":"Sneha R Sharma, Samiksha Chavan, Freny R Karjodkar, Kaustubh Sansare, Prajakta Khelkar, Aswathi Unnikrishnan","doi":"10.4103/jomfp.jomfp_27_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To evaluate the correlation of stages of OSF based on mouth opening with the presence of blanching, fibrous bands, and shape of the uvula.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"29 1","pages":"54-60"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002572/pdf/","citationCount":"0","resultStr":"{\"title\":\"Correlation of blanching, fibrosis, and uvular changes with the extent of mouth opening in oral submucous fibrosis - A 9-year retrospective analysis.\",\"authors\":\"Sneha R Sharma, Samiksha Chavan, Freny R Karjodkar, Kaustubh Sansare, Prajakta Khelkar, Aswathi Unnikrishnan\",\"doi\":\"10.4103/jomfp.jomfp_27_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To evaluate the correlation of stages of OSF based on mouth opening with the presence of blanching, fibrous bands, and shape of the uvula.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":38846,\"journal\":{\"name\":\"Journal of Oral and Maxillofacial Pathology\",\"volume\":\"29 1\",\"pages\":\"54-60\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002572/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Oral and Maxillofacial Pathology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jomfp.jomfp_27_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral and Maxillofacial Pathology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jomfp.jomfp_27_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/28 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Correlation of blanching, fibrosis, and uvular changes with the extent of mouth opening in oral submucous fibrosis - A 9-year retrospective analysis.
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.
期刊介绍：
The journal of Oral and Maxillofacial Pathology [ISSN:print-(0973-029X, online-1998-393X)] is a tri-annual journal published on behalf of “The Indian Association of Oral and Maxillofacial Pathologists” (IAOMP). The publication of JOMFP was started in the year 1993. The journal publishes papers on a wide spectrum of topics associated with the scope of Oral and Maxillofacial Pathology, also, ensuring scientific merit and quality. It is a comprehensive reading material for the professionals who want to upgrade their diagnostic skills in Oral Diseases; allows exposure to newer topics and methods of research in the Oral-facial Tissues and Pathology. New features allow an open minded thinking and approach to various pathologies. It also encourages authors to showcase quality work done by them and to compile relevant cases which are diagnostically challenging. The Journal takes pride in maintaining the quality of articles and photomicrographs.
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