Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management

Abstract Oral Submucous fibrosis (OSMF) has traditionally been described as “a chronic, insidious, scarring disease of the oral cavity, often with involvement of the pharynx and the upper esophagus”. Millions of individuals are affected, especially in South and South East Asian countries. The main r...

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Main Authors: Naman R. Rao, Alessandro Villa, Chandramani B. More, Ruwan D. Jayasinghe, Alexander Ross Kerr, Newell W. Johnson
Format: Article
Language:English
Published: SAGE Publishing 2020-01-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1186/s40463-020-0399-7
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author Naman R. Rao
Alessandro Villa
Chandramani B. More
Ruwan D. Jayasinghe
Alexander Ross Kerr
Newell W. Johnson
author_facet Naman R. Rao
Alessandro Villa
Chandramani B. More
Ruwan D. Jayasinghe
Alexander Ross Kerr
Newell W. Johnson
author_sort Naman R. Rao
collection DOAJ
description Abstract Oral Submucous fibrosis (OSMF) has traditionally been described as “a chronic, insidious, scarring disease of the oral cavity, often with involvement of the pharynx and the upper esophagus”. Millions of individuals are affected, especially in South and South East Asian countries. The main risk factor is areca nut chewing. Due to its high morbidity and high malignant transformation rate, constant efforts have been made to develop effective management. Despite this, there have been no significant improvements in prognosis for decades. This expert opinion paper updates the literature and provides a critique of diagnostic and therapeutic pitfalls common in developing countries and of deficiencies in management. An inter-professional model is proposed to avoid these pitfalls and to reduce these deficiencies.
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issn 1916-0216
language English
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series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj-art-dc8b1ff0222c4cdd9015dc44fff3ed912025-02-03T10:54:12ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-01-0149111110.1186/s40463-020-0399-7Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical managementNaman R. Rao0Alessandro Villa1Chandramani B. More2Ruwan D. Jayasinghe3Alexander Ross Kerr4Newell W. Johnson5Harvard Medical School, Harvard UniversityDivision of Oral Medicine and Dentistry, Brigham and Women’s HospitalDepartment of Oral Medicine and Radiology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth UniversityDepartment of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of PeradeniyaDepartment of Oral and Maxillofacial Pathology, Radiology and Medicine, NYU College of DentistryMenzies Health Institute Queensland, Griffith UniversityAbstract Oral Submucous fibrosis (OSMF) has traditionally been described as “a chronic, insidious, scarring disease of the oral cavity, often with involvement of the pharynx and the upper esophagus”. Millions of individuals are affected, especially in South and South East Asian countries. The main risk factor is areca nut chewing. Due to its high morbidity and high malignant transformation rate, constant efforts have been made to develop effective management. Despite this, there have been no significant improvements in prognosis for decades. This expert opinion paper updates the literature and provides a critique of diagnostic and therapeutic pitfalls common in developing countries and of deficiencies in management. An inter-professional model is proposed to avoid these pitfalls and to reduce these deficiencies.https://doi.org/10.1186/s40463-020-0399-7Oral submucous fibrosisGlobal epidemiologyAreca nutManagement
spellingShingle Naman R. Rao
Alessandro Villa
Chandramani B. More
Ruwan D. Jayasinghe
Alexander Ross Kerr
Newell W. Johnson
Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management
Journal of Otolaryngology - Head and Neck Surgery
Oral submucous fibrosis
Global epidemiology
Areca nut
Management
title Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management
title_full Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management
title_fullStr Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management
title_full_unstemmed Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management
title_short Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management
title_sort oral submucous fibrosis a contemporary narrative review with a proposed inter professional approach for an early diagnosis and clinical management
topic Oral submucous fibrosis
Global epidemiology
Areca nut
Management
url https://doi.org/10.1186/s40463-020-0399-7
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