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Oral submucous fibrosis: a premalignant condition in a 14-year-old Indian girl.
[oral submucous fibrosis]
A
14
-
year
-old
Indian
girl
presented
with
difficulty
in
mouth
opening
and
burning
sensation
while
eating
.
On
examination
,
blanching
of
the
oral
mucosa
with
diffuse
white
pigmented
lesion
of
size
3
.
5
to
2
cm
along
with
melanotic
pigmentation
was
seen
on
the
left
buccal
mucosa
posteriorly
.
The
patient
was
diagnosed
with
oral
submucous
fibrosis
.
A
comprehensive
treatment
plan
was
made
based
on
conservative
management
that
included
motivation
and
intense
counselling
of
the
patient
and
her
parents
so
that
she
quits
the
habit
of
chewing
areca
nut
and
tobacco
,
along
with
systemic
treatment
of
vitamin
B
complex
supplements
,
antioxidants
,
multivitamins
and
oral
physiotherapy
.
We
present
this
case
to
highlight
the
difficulties
faced
by
the
clinical
practitioners
in
providing
treatment
because
of
the
taboos
and
myths
associated
with
surgical
treatment
modality
in
rural
population
as
well
as
to
emphasise
the
menace
of
increasing
consumption
and
availability
of
tobacco
and
areca
nut
to
children
.
