World J Surg Surg Res | Volume 1, Issue 1 | Case Report | Open Access

An Unusual Pediatric Oral Submucous Fibrosis Case Report with Combinative Treatment Plan

Sahand Samieirad1,2, Hadi Tohidi3, Majid Eshghpour1 and Maryam Alsadat Hashemipour4*

1Department of Oral and Maxillofacial Surgery, Mashhad University of Medical Sciences, Iran
2Department of Oral and Maxillofacial Diseases, Mashhad University of Medical Sciences, Iran
3Department of Cardiologist, Mashhad University of Medical Sciences, Iran
4Department of Oral Medicine, Kerman University of Medical Science, Iran

*Correspondance to: Maryam Alsadat Hashemipour 

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Oral Submucous Fibrosis (SMF) is considered as an irreversible, chronic and premalignant condition with the clinical manifestation of progressive fibrotic scar in the oral soft tissue. This phenomenon would lead to complications such as burning mouth sensation and xerostomia. Moreover, in more severe cases, this disease can lead to trismus, limitation of mouth opening, microstomia, speech disorders, as well as difficulty in the tongue movement and swallowing. Although SMF etiology is multi factorial; but the main cause of this lesion in children would remain unclear and ambiguous. This disease is a rare condition in children and the post-operative relapse is common. In this paper, the authors presented an unusual case of 10-year-old boy with a rare oral submucous fibrosis, with unknown etiology, who was misdiagnosed as a temporomandibular joint ankylosis. The patient was managed successfully with a particular combined treatment, including pharmaceutical, surgical, physiotherapeutic, and prosthetic approaches, and followed for 6 months. Maxillofacial surgeons are recommended to be familiar with signs and symptoms of SMF as one of trismus etiological probabilities. The correct diagnosis and treatment planning in these patients are considered to be as essential factors to successfully achieve the desirable outcomes. Also, it reduces the morbidity and mortality associated with misdiagnosis or mismanagement of this condition.


Oral submucous fibrosis; Trismus; Ankylosis


Samieirad S, Tohidi H, Eshghpour M, Hashemipour MA. An Unusual Pediatric Oral Submucous Fibrosis Case Report with Combinative Treatment Plan. World J Surg Surgical Res. 2018; 1: 1006.

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