International Journal of Head and Neck Surgery

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VOLUME 2 , ISSUE 1 ( January-April, 2011 ) > List of Articles


Symptoms of Oral Submucosal Fibrosis: Our Experience with Intralesional Injection Treatment

PV Dhond, Rajesh Yadav, Mudit Mittal, Shashi Kant

Citation Information : Dhond P, Yadav R, Mittal M, Kant S. Symptoms of Oral Submucosal Fibrosis: Our Experience with Intralesional Injection Treatment. Int J Head Neck Surg 2011; 2 (1):45-48.

DOI: 10.5005/jp-journals-10001-1046

Published Online: 01-08-2012

Copyright Statement:  Copyright © 2011; The Author(s).



This study evaluates the symptoms and effects of peroral intralesional injections in relieving the symptoms of oral submucosal fibrosis (OSMF) in our clinical settings.

Study design

Retrospective clinical review at a primary care hospital of 32 patients with extensive OSMF who underwent peroral intralesional injections of steroid, hyaluronidase, placentrex and lignocaine performed in office setting.


The main symptoms were change in color of buccal mucosa, trismus, burning mouth, vesicles in oral cavity. All patients experienced considerable improvement in their symptoms over a duration of 2 to 6 weeks.


Though, a large number of Indian population is suffering and seeking treatment for OSMF, unfortunately not much has been done in this area. It is difficult to find studies on peroral intralesional injection technique. When there is lack of reliable evidence of oral submucosal fibrosis treatment, the old technique of peroral intralesion shots of steroid, hyaluronidase, placentrex in lignocaine is safe and effective in resolving the symptoms associated with OSMF. The therapy is very cost effective and also reduces the need of surgery.

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