Audiometric and Tympanometric Assessment in Patients with Oral Submucous Fibrosis.

Background: Oral submucous fibrosis (OSMF) is regarded as a potentially malignant condition. It is characterized by a mucosal rigidity of variable intensity because of the fibroelastic changes of the juxta epithelial layer, resulting in a progressive inability to open the mouth. Oral submucous fibrosis can cause fibrosis and degeneration of tubal and paratubal muscles extending to nasopharynx causing alteration in eustachian tube function. So, this study was carried out with an aim to determine the effect of OSMF on the function of the eustachian tube. Materials and Methods: 80 ears of 40 patients with OSMF and 40 ears of 20 normal persons had undergone audiometry and tympanometry after a thorough history taking and clinical examination. Results: Out of the 80 ears in the OSMF group, Type A curve in 44 (55%) ears. Type As 13 (16.3%) ears, type Ad in 7 (8.8%) ears, type B in 9 (11.3%) and type C in 7 (8.8%) ears (Table 3, Graph 2). The control group showed type A curve in all individuals. On pure tone audiometry (PTA) of study group hearing was found to be normal in 47 (58%) ears; mild hearing loss was found in 28 (35%) ears and moderate hearing loss in 5 (6.3%) ears while it was normal in all subjects in the control group. When tympanometry curves were compared in different groups of oral submucous fibrosis (according to Khanna et al), a significant relation was found. Type A curve was decreased as the group progress from 1 to 4 while reverse was true for type As, Ad and C curve with significant value of .0009. Conclusion: The data obtained were analyzed statistically using chi-square test, which suggested a significant association between different stages of OSMF and eustachian tube function. Therefore, it can be concluded that eustachian tube function may be affected in OSMF.

Optical Coherence Tomography; A Modern Technique to Detect Oral Mucosal Lesion: A Review.

Early detection and management of potentially malignant oral lesions can significantly reduce progression of these lesions into invasive cancer, and would thus reduce morbidity and fatality rate. Cancerous and potentially malignant lesions show dysplastic feature which is mostly detected by biopsy. However, biopsy has a certain constraints like (i) biopsy can cause delay in the result, (ii) experienced pathologist must expound the biopsy sample (iii) sometimes can cause spread of cancer cells, (iv) cannot be done repeatedly. Therefore, in potentially malignant lesions and cancer optical coherence tomography (OCT) is utilized to detect early dysplastic changes. Therefore, we are presenting a review on the applications of OCT in oral mucosal lesions.

Temporomandibular Joint Manifestations in Rheumatoid Arthritis: A Case Report.

Rheumatoid arthritis (RA) is a chronic infl ammatory disease characterized by joint swelling, joint tenderness, and ravagement of synovial joints, leading to rigorous incapacitation, and premature mortality. It was fi rst described by Dr. Augustin Jacob Landr´e-Beauvais in 1800. RA aff ects about 1% population worldwide. Temporomandibular joint (TMJ) involvement is usually found along with the involvement of the joints of the hands and feet. TMJ involvement is associated with pain, infl ammation, limited joint movements, swelling, joint stiff ness, and muscle spasm. Radiological features include cortical erosion, decreased joint space, de-ossifi cation, sharpen pencil head or spiked deformity or mouthpiece of fl ute deformity of the condylar head. Clinical examination and investigations (radiographic and hematological) remain the mainstay of diagnosis. Here, we present a case of RA of TMJ along the joints of the hands and feet.

Non‑syndromic bilateral condylar aplasia: A rare case.

The temporomandibular joint is one of the most complex joints of the human body. It consists of the mandibular condyle, glenoid fossa and the articular eminence of the temporal bone. Aplasia of the condyle is usually seen as part of a syndrome otherwise it is rare. We report a case of bilateral condylar aplasia in a 20‑year‑old male not associated with any syndrome. The patient reported to the department with a chief complaint of the underdeveloped lower jaw. Clinical examination, conventional radiographs, and 3D computer tomography images revealed a complete absence of condyle on the right and left sides.