Pedicled nasolabial flap as graft in oral submucous fibrosis
Journal Title: Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Oral submucous fibrosis OSMF is chronic insidious debilitating condition of oral cavity and sometimes pharynx characterized by progressive hyalinization of juxtaepithelial tissue and progressive fibrosis of the oral cavity This precancerous condition is caused by betelnut chewing and is mainly endemic to the Asian subcontinent Arecanut is identified as group one carcinogen by International Agency for research on cancer IARC OSMF has a high malignant transformation rate of 7305 A variety of treatment modalities are suggestedNone of the modalities provide the complete remission of the disease and are aimed at improving the functions of the mouth like chewing and opening of mouthMaterials and Methods Five patients in stage III or IV were treated with the incision of bands and reconstruction with pedicled nasolabial flapResults The preoperative intraoperative and postoperative mouth opening were compared There was significant increase in intraoperative and post operative mouth opening The mean increase of intraoperative mouth opening was 256mm and mean increase of postoperative mouth opening was 192mmDiscussion Nasolabial flap has been used for reconstruction of many extraoral and intraoral defects This versatile flap is well vascularized supplied by facial artery and angular artery There is a minimal donor site deformity and good esthetic results postoperatively We used a single stage nasolabial island flap to reconstruct the tissue in OSMF We did this study to evaluate the outcomes of a nasolabial island flap pedicled on facial artery postoperativelyKeywords OSMF Nasolabial flap
Authors and Affiliations
Shweta Bhatnagar
Keywords
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- EP ID EP479768
- DOI 10.18231/2395-6194.2018.0004
- Views 76
- Downloads 0
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