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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    Suggest treatment for oral fibrosis

I have oral fibrosis, cannot open my mouth big. The jaw muscle are tight. Can I use apply derma dew inside the mouth on the muscle area to make it more flexable. Or do you have any product that might help me open my mouth wider. I have tried all other medicatins; nothing helped.
Mon, 22 Jun 2015
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General & Family Physician 's  Response
Hi & Welcome to HCM.
I appreciate your concern for the possible treatment of Oral fibrosis.

As per the problems given in your query, apparently you are suffering from oral submucosal fibrosis with stage 2.

If the combination of topical application of steroids and hyaluronidase failed to show any improvement then you should consult a plastic surgeon for trismus (inability to open the mouth), the following reconstructive surgeries can be undertaken.

1. Simple excision of the fibrous bands
2. Split-thickness skin grafting if there is involvement of temporalis tendon

Besides the surgical procedures mentioned above the nutritional deficiencies should be investigated like CBC (for hemoglobin levels), iron levels, Vitamin B complex levels, protein levels and ESR and treated accordingly.

Hope the suggestions given above could be of great help in seeking the treatment from a plastic surgeon.

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