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Repercussions of Smokeless Tobacco on Buccal Mucosa: A Community Based Observational Study at a Tertiary Care Centre in Western Rajasthan

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Background

Tobacco is consumed mainly as smoking or smokeless tobacco [SLT]. “Smokeless tobacco” (SLT) term is used for the consumption of tobacco mixed with other constituents in form of chewing, spitting and dipping. Consumers of smokeless tobacco chew the products and spit out the juice that builds up in oral cavity which leads to various malignant and pre malignant lesions of oral cavity.

Methods

Descriptive observational study was conducted in the city of Jodhpur through department of ENT, Head & Neck Surgery, Dr. SN medical college, Jodhpur.

Results

Male to female ratio of smokeless tobacco usage was almost same. Increasing age was associated with occurrence of oral lesions and 43% patients developed oral lesions in the group > 64 yrs of age. Duration was another associating factor and 66% developed symptoms within < 10 years of usage. Oral submucous fibrosis is the most common lesion. Malignant lesions were seen in 0.3% cases. Around 78% cases developed dependency. Diabetic patients were seen more prone to development of oral lesions.

Conclusions

Development of lesions in the oral cavity by smokeless tobacco depends on various factors such as quantity of tobacco usage per day, place of putting tobacco and duration. Awareness regarding its fatal effects and timely diagnosis and management can save many lives.

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Data Availability

The datasets used in this study are available from corresponding author on reasonable request.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, Dr. S.N. Medical College and M.D.M. Hospital, Jodhpur, Rajasthan, 342003, India

    Navneet Agarwal, Mohammed Nadeem Shaikh & Paridhi Ahuja

  2. Department of Anaesthesia, Dr. S.N. Medical College and M.D.M. Hospital, Jodhpur, Rajasthan, 342003, India

    Anisha Banu

Authors
  1. Navneet Agarwal
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  2. Mohammed Nadeem Shaikh
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  3. Anisha Banu
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  4. Paridhi Ahuja
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Contributions

The study was done under complete guidance of NA. The data collection and patient evaluation was done by MS and AB. Statistical analysis and manuscript writing was done by PA. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Paridhi Ahuja.

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The authors declare that they have no competing interests.

Ethical Approval

Certificate reference number: SNMC/IEC/2021/plan/482 dated 27/10/2021 by Institutional Ethics Committee, Dr. Sampurnanand Medical College, Jodhpur.

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Agarwal, N., Shaikh, M.N., Banu, A. et al. Repercussions of Smokeless Tobacco on Buccal Mucosa: A Community Based Observational Study at a Tertiary Care Centre in Western Rajasthan. Indian J Otolaryngol Head Neck Surg 76, 1891–1897 (2024). https://doi.org/10.1007/s12070-023-04440-7

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  • DOI: https://doi.org/10.1007/s12070-023-04440-7

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