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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes difficulty in opening mouth wider while addicted to gutkha?

Hello Doctor,
This is prashant i have been eating gutkha from past 8-9 yrs and my mouth does not open its like 2 fingers wide but its from past 6 to 7 yrs and previously also my mouth used to open for 2-3 fingers is it sub mucous fibrosis and if it is can u suggest me some test to confirm it and treatment. for ur infor mation right now im in bed from past 2 mnts with d11 d12 and l1 spinal cord fracture.plz guide me.
Mon, 8 Dec 2014
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General & Family Physician 's  Response
Welcome to Healthcare Magic.
Sorry to hear about your fracture.
Two strategies.
In medical care:
Pentoxifylline 400 mg 3 times daily
Topical hyaluronidase.
Every week submucosal intralesional injections or topical application of steroids may help prevent damage.
Combination of steroids and topical hyaluronidase shows better long-term results than used alone.
In surgery:
Split-thickness skin grafting.
Just excision of the fibrous bands.
Laser fibrotomy, performed under a local anesthesia also helps.
Hope this will help.
take care...
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