Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study

Background: Oral Submucous Fibrosis (OSMF) is a chronic, potentially malignant disorder mainly caused by areca nut chewing, leading to excessive collagen deposition and oral fibrosis. Conventional diagnostic methods are invasive and subjective, prompting interest in non-invasive alternatives. Purpos...

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Main Authors: Veena KM, Harshini Manoharan, Prashanth Shenoy, Laxmikanth Chatra, Rachana V Prabhu, Prathima Shetty
Format: Article
Language:English
Published: Light House Polyclinic Mangalore 2025-07-01
Series:Online Journal of Health & Allied Sciences
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Online Access:https://www.ojhas.org/issue94/2025-2-4.html
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author Veena KM
Harshini Manoharan
Prashanth Shenoy
Laxmikanth Chatra
Rachana V Prabhu
Prathima Shetty
author_facet Veena KM
Harshini Manoharan
Prashanth Shenoy
Laxmikanth Chatra
Rachana V Prabhu
Prathima Shetty
author_sort Veena KM
collection DOAJ
description Background: Oral Submucous Fibrosis (OSMF) is a chronic, potentially malignant disorder mainly caused by areca nut chewing, leading to excessive collagen deposition and oral fibrosis. Conventional diagnostic methods are invasive and subjective, prompting interest in non-invasive alternatives. Purpose: To evaluate submucosal thickness in OSMF patients using ultrasonography (USG) and correlate findings with clinical staging. Design and Sample: A case-control study at Yenepoya Dental and Medical College, Mangalore, including 33 OSMF patients (staged clinically) and 11 healthy controls. Variables: Clinical stage (independent), submucosal thickness (outcome), with age and sex as covariates. Analysis: Bivariate and post hoc analyses examined associations between submucosal thickness, staging, and covariates. Results: The analysis demonstrated a statistically significant increase in submucosal thickness with advancing disease stages, which was indicated by progressively higher mean values and widening confidence intervals. Post hoc comparisons between stages revealed significant differences, underscoring the strong correlation between disease severity and increased submucosal thickness. Conclusions and Relevance: Ultrasonography is an effective, non-invasive tool for evaluating submucosal thickness in OSMF patients. It offers a reliable correlation with clinical staging, making it valuable for early diagnosis, monitoring disease progression, and assessing treatment efficacy. This study underscores the potential of USG to provide objective, precise assessments of OSMF severity, enhancing clinical management of the condition.
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spelling doaj-art-48f307c81d2e49eaa75ba9cb92441f882025-08-20T02:58:22ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59972025-07-01242Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control StudyVeena KM0Harshini Manoharan1Prashanth Shenoy2Laxmikanth Chatra3Rachana V Prabhu4Prathima Shetty5Professor, Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.Postgraduate Student, Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.Professor and Head, Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.Senior Professor, Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.Additional Professor, Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.Additional Professor, Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India.Background: Oral Submucous Fibrosis (OSMF) is a chronic, potentially malignant disorder mainly caused by areca nut chewing, leading to excessive collagen deposition and oral fibrosis. Conventional diagnostic methods are invasive and subjective, prompting interest in non-invasive alternatives. Purpose: To evaluate submucosal thickness in OSMF patients using ultrasonography (USG) and correlate findings with clinical staging. Design and Sample: A case-control study at Yenepoya Dental and Medical College, Mangalore, including 33 OSMF patients (staged clinically) and 11 healthy controls. Variables: Clinical stage (independent), submucosal thickness (outcome), with age and sex as covariates. Analysis: Bivariate and post hoc analyses examined associations between submucosal thickness, staging, and covariates. Results: The analysis demonstrated a statistically significant increase in submucosal thickness with advancing disease stages, which was indicated by progressively higher mean values and widening confidence intervals. Post hoc comparisons between stages revealed significant differences, underscoring the strong correlation between disease severity and increased submucosal thickness. Conclusions and Relevance: Ultrasonography is an effective, non-invasive tool for evaluating submucosal thickness in OSMF patients. It offers a reliable correlation with clinical staging, making it valuable for early diagnosis, monitoring disease progression, and assessing treatment efficacy. This study underscores the potential of USG to provide objective, precise assessments of OSMF severity, enhancing clinical management of the condition.https://www.ojhas.org/issue94/2025-2-4.htmloral submucous fibrosis (osmf)ultrasonography (usg)submucosal thickness
spellingShingle Veena KM
Harshini Manoharan
Prashanth Shenoy
Laxmikanth Chatra
Rachana V Prabhu
Prathima Shetty
Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study
Online Journal of Health & Allied Sciences
oral submucous fibrosis (osmf)
ultrasonography (usg)
submucosal thickness
title Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study
title_full Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study
title_fullStr Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study
title_full_unstemmed Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study
title_short Ultrasonographic Evaluation of Submucosal Thickness in Oral Submucosal Fibrosis Patients and its Correlation with Clinical Staging - A Case-Control Study
title_sort ultrasonographic evaluation of submucosal thickness in oral submucosal fibrosis patients and its correlation with clinical staging a case control study
topic oral submucous fibrosis (osmf)
ultrasonography (usg)
submucosal thickness
url https://www.ojhas.org/issue94/2025-2-4.html
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