DOI: 10.4103/jras.jras_324_24 ISSN: 2456-5601

Management of oral polyp with Ksharasutra: A case report

Mamta Mittal, Pranjali Priya, Rahul Kumar
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Abstract

INTRODUCTION:

Oral polyps are benign mucosal proliferative lesions that may cause discomfort, interfere with mastication, and require surgical excision or cauterization. In Ayurveda, such lesions may be correlated with Mukha Arsha , for which Ksharasutra therapy is described as a minimally invasive parasurgical intervention. This report describes the management of an oral polyp using Ksharasutra ligation.

PATIENT INFORMATION:

A 17-year-old male patient presented with a progressively enlarging oral mucosal growth of 3 months’ duration, associated with difficulty in chewing and persistent local irritation. He had previously declined surgical excision because of apprehension regarding surgery. Clinical examination revealed a well-defined, sessile, firm, nontender polyp measuring approximately 10 mm on the buccal mucosa. Based on Ayurvedic assessment, the lesion was diagnosed as Mukha Arsha and managed with Ksharasutra ligation.

INTERVENTION AND OUTCOME:

Ksharasutra ligation was performed, with replacement of the ligature as clinically indicated during the follow-up. The polyp underwent gradual necrosis and completely sloughed on the seventh day. Wound healing was uneventful, with subsequent local application of Goghrit . Histopathological examination confirmed a benign lesion without evidence of malignancy. No pain, bleeding, infection, scarring, adverse events, or recurrence was observed during a 3-month follow-up.

CONCLUSION:

This case demonstrates that Ksharasutra ligation may represent a minimally invasive treatment option for selected benign oral polyps, achieving complete excision with satisfactory healing and no recurrence during the short-term follow-up.

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