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Correlation of histopathological diagnosis with habits and clinical findings in oral submucous fibrosis.

Pandya S, Chaudhary AK, Singh M, Singh M, Mehrotra R - Head Neck Oncol (2009)

Bottom Line: The buccal mucosa was found to be the most commonly involved site.In this study, an increase in histopathological grading was found with severity and duration of addiction habit.However no significant correlation was found between clinical staging and histopathological grading.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathology, Moti Lal Nehru Medical College, Allahabad, India. shrutigentech@gmail.com

ABSTRACT

Background: Oral submucous fibrosis is a common oral health problem in India. This study was conducted to correlate the histopathological diagnosis with habits and clinical findings in patients suffering from oral submucous fibrosis (OSF).

Methods: Patients suffering from oral submucous fibrosis from the Departments of Otorhinolaryngology and Pathology, Moti Lal Nehru Medical College, Allahabad, India were studied from 2004-2008. Detailed information was gathered in a pretested proforma. Emphasis was given to the various addictions, clinical findings and histological examination was done.

Results: Two hundred and thirty nine patients were studied, yielding a male to female ratio of 6.8:1. Maximum patients were in the 21-30 years age group with a marked male predominance. Of these, 197 (82.4%) patients chewed areca nut/dohra, 14 (5.8%) were smokers and 2 (0.8%) patients were habituated to alcohol. 89 (37.2%) patients reported difficulty in opening of the mouth (trismus). 51 (57.4%) patients were found to have stage II (2-3 cm) trismus while rest had stage I and III. The buccal mucosa was found to be the most commonly involved site. On the basis of histopathological examination, 52 (21.7%) were classified as OSF grade I, 75 (31.3%) patients as grade II and 112 (46.8%) had grade III disease.

Conclusion: The widespread habit of chewing dohra/paan masala is a major risk factor of OSF, especially in the younger age group. In this study, an increase in histopathological grading was found with severity and duration of addiction habit. However no significant correlation was found between clinical staging and histopathological grading.

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Paan quids being served at a wedding reception.
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Figure 6: Paan quids being served at a wedding reception.

Mentions: Areca nut, incriminated in the causation of OSF is often wrapped in the leaf of a tropical creeper, Piper betle L. commonly known as the betel leaf or paan [Figure 6]. The usage of paan is widespread in the Indian subcontinent, mostly in the Hindi speaking heartland of North and Central India.


Correlation of histopathological diagnosis with habits and clinical findings in oral submucous fibrosis.

Pandya S, Chaudhary AK, Singh M, Singh M, Mehrotra R - Head Neck Oncol (2009)

Paan quids being served at a wedding reception.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2691735&req=5

Figure 6: Paan quids being served at a wedding reception.
Mentions: Areca nut, incriminated in the causation of OSF is often wrapped in the leaf of a tropical creeper, Piper betle L. commonly known as the betel leaf or paan [Figure 6]. The usage of paan is widespread in the Indian subcontinent, mostly in the Hindi speaking heartland of North and Central India.

Bottom Line: The buccal mucosa was found to be the most commonly involved site.In this study, an increase in histopathological grading was found with severity and duration of addiction habit.However no significant correlation was found between clinical staging and histopathological grading.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathology, Moti Lal Nehru Medical College, Allahabad, India. shrutigentech@gmail.com

ABSTRACT

Background: Oral submucous fibrosis is a common oral health problem in India. This study was conducted to correlate the histopathological diagnosis with habits and clinical findings in patients suffering from oral submucous fibrosis (OSF).

Methods: Patients suffering from oral submucous fibrosis from the Departments of Otorhinolaryngology and Pathology, Moti Lal Nehru Medical College, Allahabad, India were studied from 2004-2008. Detailed information was gathered in a pretested proforma. Emphasis was given to the various addictions, clinical findings and histological examination was done.

Results: Two hundred and thirty nine patients were studied, yielding a male to female ratio of 6.8:1. Maximum patients were in the 21-30 years age group with a marked male predominance. Of these, 197 (82.4%) patients chewed areca nut/dohra, 14 (5.8%) were smokers and 2 (0.8%) patients were habituated to alcohol. 89 (37.2%) patients reported difficulty in opening of the mouth (trismus). 51 (57.4%) patients were found to have stage II (2-3 cm) trismus while rest had stage I and III. The buccal mucosa was found to be the most commonly involved site. On the basis of histopathological examination, 52 (21.7%) were classified as OSF grade I, 75 (31.3%) patients as grade II and 112 (46.8%) had grade III disease.

Conclusion: The widespread habit of chewing dohra/paan masala is a major risk factor of OSF, especially in the younger age group. In this study, an increase in histopathological grading was found with severity and duration of addiction habit. However no significant correlation was found between clinical staging and histopathological grading.

Show MeSH
Related in: MedlinePlus