“Bilateral Coronoidotomy in Conjunction With Submucous Fibrous Bands Release As A Treatment Modality for Oral Submucous Fibrosis”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Purpose: Oral submucous fibrosis (OSMF) is a premalignant condition mainly associated with chewing areca nut. It is characterized by inflammation, increased deposition of submucosal collagen and fibrotic bands in the oral tissues, which increasingly limit mouth opening. Thus causing difficulty in mastication, speech, swallowing, maintaining oral hygiene and decreases patients' quality of life. We evaluated efficacy of coronoidotomy at improving patient’s mouth opening. Aim And Objective: To evaluate the efficacy of coronoidotomy along with fibrotic bands release as surgical intervention in advanced oral submucous fibrosis. Method: Ten patients diagnosed as Group III and IV OSMF (Khanna-Andrade Classification 1995) were included in the study. Preoperative clinical findings and interincisal distance were assessed. All patients underwent bilateral coronoidotomy along with release of fibrous bands and grafting of defect with bovine collagen membrane with 3 months follow up. The interincisal distance is recorded at time intervals of 1st day, 7th day, 1st month and 3rd months postoperatively. Results: Intraoperative interincisal mouth opening of about a mean of 28 mm obtained after fibrotic bands release. Further, after bilateral coronoidotomy, a mean Intraoperative mouth opening of 42 mm was achieved. On first postoperative day a mean mouth opening of 38.3 mm was observed. Regular mouth opening exercises commenced on the third postoperative day. Both the frequency and duration was increased which aided in further increasing the mouth opening. Mean interincisal distance of 37.1 mm was achieved after 7 days, 34.6.mm at first month follow up and 32.9mm after 3 months. Conclusion: The procedure bilateral coronoidotomy with the resection of fibrous bands was effective in management in Group III and IV OSMF for long term results.
Authors and Affiliations
Dr. Ayesha, Dr. Veeresh M
Keywords
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