Surgical Management of Oral Submucous Fibrosis Defects Using Buccal Fat Pad in Posterior Region and Nasolabial Flap in The Anterior Region
Journal Title: Indian Journal of Dental Advancements - Year 2016, Vol 8, Issue 2
Abstract
Background: Oral submucous fibrosis is a chronic debilitating disease characterized by gradually increasing fibrosis of the oral cavity and pharynx, mainly the buccal mucosa, resulting in trismus. Various flaps have been used to reconstruct the surgical defects following excision of fibrous bands. Aim: The aim of the present study was to clinically evaluate the application of pedicled buccal fat pad (BFP) and nasolabial flap (NLF) in the surgical management of stage III and IV oral submucous fibrosis (OSMF). Materials and Methods: Twenty cases of OSMF of clinical stage III and stage IV were selected. All the patients underwent incision of fibrotic bands and coverage of the buccal defect anteriorly with a nasolabial flap and posteriorly with a pedicled BFP flap. All patients were analyzed for mouth opening, time taken for epithelialization, cheek flexibility, scar formation and intercommissural width. Results: The study showed epithelization for BFP took an average time of 4 weeks and mucosalization of NLF took a mean time of 5months. Post operative mouth opening and intercommissural width were increased significantly and minimal scar formation was observed. Conclusion: It can be concluded that the results achieved are better with use of both NLF and BFP simultaneously rather than any of these flaps used alone. Amount of the defect that could be satisfactorily closed by the use of NLF along with BFP is greater with minimal tension when compared with the NLF or BFP alone. Widening of oral commissure is less when compared with NLF alone.
Authors and Affiliations
Pavan Kumar B, Brahmaji Rao J, Hari Priya Chari, Jeevan Kumar KA, Madhusudan Rao G
Keywords
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- EP ID EP480494
- DOI 10.5866/2016.8.10082
- Views 68
- Downloads 0
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