Surgical oncology and reconstructionUse of Buccal Fat Pad for Treatment of Oral Submucous Fibrosis
Section snippets
Materials and Methods
All patients who presented to the department of oral and maxillofacial surgery at our institute to seek treatment for chief complaints of reduced mouth opening, painful ulcerations, burning sensation, intolerance to spices, and a habit of betel nut or tobacco chewing were screened for clinical diagnosis of OSMF. On the basis of clinical findings, the patients were grouped into 4 categories1: stage I, interincisal mouth opening of more than 35 mm; stage II, interincisal mouth opening from 26 to
Results
In our study 28 patients were divided into 2 groups: group I (stage III) consisted of 15 patients and group II (stage IV) consisted of 13 patients with a mean preoperative mouth opening of 19.6 mm (SD, 2.43) and 12.92 mm (SD, 1.21), respectively. The mean postoperative mouth opening after 1 year was 35 mm in group I (SD, 1.96) and 31.76 mm in group II (SD, 1.97) (Fig 2). There was no evidence of graft failure, but recurrence of trismus and no remission of painful ulceration, burning sensation,
Discussion
OSMF is an insidious, chronic disease that may affect any part of the oral cavity and sometimes the pharynx, leading to stiffness of the oral mucosa and causing trismus.1, 3 This disease is most frequently found in India and is not uncommon in Southeast Asia. It has also been reported in other countries because immigration has resulted in a worldwide distribution. Betel nut chewing appears to be the main factor correlating with this disease.12
Most patients complain of an irritable oral mucosa
References (16)
- et al.
Oral submucous fibrosis
J Oral Surg
(1966) - et al.
Oral submucous fibrosis
Int J Oral Maxillofac Surg
(1987) - et al.
Incidence and early forms of oral submucous fibrosis
J Oral Surg
(1980) - et al.
Use of the buccal fat pad as pedicled graft
J Oral Maxillofac Surg
(1986) - et al.
Management of oral submucous fibrosis: A conservative approach
J Oral Maxillofac Surg
(1991) - et al.
Surgery for severe trismus in submucous fibrosis
Br J Plast Surg
(1987) - et al.
Extended nasolabial flaps in the management of oral submucous fibrosis
Br J Oral Maxillofac Surg
(2009) - et al.
Oral submucous fibrosis: A new concept in surgical managementReport of 100 cases
Int J Oral Maxillofac Surg
(1995)
Cited by (32)
Use of the greater palatine pedicled flap for the surgical management of trismus in oral submucous fibrosis
2021, British Journal of Oral and Maxillofacial SurgeryAlgorithm for the treatment of oral and peri-oral defects through local flaps
2018, Journal of Cranio-Maxillofacial SurgeryA randomized control trial measuring the effectiveness of a mouth-exercising device for mucosal burning in oral submucous fibrosis
2016, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyOral submucous fibrosis: a review of the current management and possible directions for novel therapies
2016, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyCitation Excerpt :It is not our intention to review this literature in full here, as surgical interventions are covered elsewhere.13,54 Various grafting techniques include the use of buccal fat pads, tongue flaps, nasolabial flap, and radial forearm flaps.38,55-68 Artificial grafts that promote tissue regeneration have also been advocated in the reconstruction of defects following surgery.69
Surgery for extra-articular trismus: A systematic review
2016, British Journal of Oral and Maxillofacial SurgeryCitation Excerpt :Consequently, after assessment of the full texts, 33 papers remained. One study was excluded,20 because the sample was also part of the sample described in another study by the same author,21 which meant that a total of 32 studies was included21–52 (Table 2, supplementary data, on line only). The studies were published between 1987 and 2013, and we found considerable diversity both clinically and in the methods used among the studies.
Does Topical Application of Placental Extract Gel on Postoperative Fibrotomy Wound Improve Mouth Opening and Wound Healing in Patients With Oral Submucous Fibrosis?
2015, Journal of Oral and Maxillofacial Surgery