Meta AnalysisID 7018

口腔黏膜下纤维性变的药物治疗:系统评价

CRD42023429093

To evaluate the different medicinal interventions available for the management of oral submucous fibrosis (OSF).

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Record Fields

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Meta Analysis Id
7018
Evidence Id
15576
Core Evidence Id
15576
Source Meta Analysis Id
7003
Herb2 Meta Analysis Id
HBMA007003
Crd Id
CRD42023429093
Title
Drug treatment for oral submucous fibrosis: a systematic review
Review Question
To evaluate the different medicinal interventions available for the management of oral submucous fibrosis (OSF).
Study Type Included
RCT, non-RCT studies were included
Condition Being Studied
Oral submucous fibrosis (OSF) is an insidious and chronic oral mucosal disease. It is a potentially malignant disorder of the oral mucosa with a malignant transformation rate between 6% and 9%. The initial manifestations of OSF are inflammation, fibrosis occurring after inflammation, and marble-like lesions in the oral mucosa. The late stage of this disease is characterized by a fibrous band that limits mouth opening, which can further cause problems with oral hygiene, speaking, and chewing. The etiology of OSF has not yet been fully elucidated but may be related to betel nut chewing, capsaicin,autoimmunity, allergies, genetic predisposition, and chronic vitamin and micronutrient deficiencies. The current mainstream view is that betel nut chewing is closely associated with the occurrence of OSF. Excessive use of areca nut, collagen synthesis increases and collagen degradation decreases, increased collagen cross-linking, and insufficient collagen phagocytosis and fibrokine action, this eventually leads to OSF. Moreover, the long-term use of areca nut can induce the production of free radicals and reactive oxygen species, leading to a high rate of oxidation/peroxidation of unsaturated fatty acids, which affects the essential components of cell membranes.
Participant
Inclusion Criteria 1)Type of study: RCT, non-RCT studies were included; 2) Subjects: patients diagnosed with OSF according to pathological diagnosis or clinical manifestations, regardless of gender and race; 3) Intervention: the experimental group was treated with drugs; 4)The study was conducted from December 2011 to September 2022; 5) Studies were reported in English only. Exclusion criteria (1) incomplete data (2) full text not available (3) Studies with unclear evaluation criteria; (4) Cannot be obtained Bureau index data, literature with incomplete data and wrong data.
Animal
Human Disease Modelled
Intervention
Intervention group: lycopene, pentoxifylline, curcumin, aloe vera, Omega3 and other drug treatment group. Control group: other drug group
Comparator Control
Placebo.A group of drug which the experimental group did not use or blank control.
Main Outcome
mouth opening, burning sensation, check flexible Measures of effect MD
Outcome Measure
Additional Outcome
Tongue Protrusion Measures of effect MD
Study Method
Meta-analysis, Systematic review
Keyword
Humans; Oral Submucous Fibrosis
Contact
xueru chen [email protected]
Organisational Affiliation
School of Stomatology, Hunan University of Chinese Medicine https://www.csskqyy.com/
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2023-05-23
Registration Date
2023-06-03
Anticipated Start Date
2022-09-01
Anticipated Completion Date
2023-07-31
Title Cn
口腔黏膜下纤维性变的药物治疗:系统评价
Title En
Drug treatment for oral submucous fibrosis: a systematic review
Bilingual Status
complete