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A cross sectional study of oral submucous fibrosis in central India and the effect of local triamcinolone therapy.
[oral submucous fibrosis]
The
use
of
processed
arecanut
is
on
the
increase
.
In
the
impending
danger
of
increased
occurrence
of
oral
submucous
fibrosis
and
subsequent
oral
cancer
following
this
habit
is
colossal
.
So
an
attempt
is
made
to
clinically
evaluate
the
condition
and
to
evaluate
the
effect
of
triamcinolone
on
this
condition
.
Using
the
clinical
data
collected
from
the
patients
presenting
in
the
ENT
OPD
of
NSCB
Medical
College
Hospital
,
Jabalpur
,
a
cross
sectional
study
was
done
and
the
effect
of
intralesional
triamcinolone
on
this
condition
is
noted
by
biweekly
submucosal
injections
of
40
Â
mg
triamcinolone
for
12
Â
weeks
and
followed
up
for
1
Â
year
.
The
effect
of
therapy
was
evaluated
subjectively
by
improvement
in
symptoms
and
objectively
by
increase
in
mouth
opening
.
The
age
of
occurrence
and
sex
predilection
also
showed
a
significant
change
with
more
young
males
being
affected
by
the
condition
.
There
was
no
significant
correlation
between
effect
of
triamcinolone
therapy
and
duration
of
addiction
but
a
significant
correlation
(
P
Â
<
Â
0
.
0001
)
was
noted
with
the
frequency
of
addiction
per
day
.
A
significant
improvement
in
mouth
opening
is
observed
following
local
triamcinolone
therapy
.
The
results
imply
that
the
exposure
and
the
frequency
of
chewing
habits
,
and
not
mere
the
duration
that
is
significant
in
producing
the
condition
and
affecting
the
treatment
outcome
.
Local
triamcinolone
therapy
has
good
effect
in
the
initial
stages
of
the
disease
.
The
fact
that
more
youngsters
are
being
affected
needs
serious
consideration
.
