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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 4/2016

01-12-2016 | Original Article

Surgical defect coverage in oral submucous fibrosis patients with single-stage extended nasolabial flap

Authors: Faisal Idrees, Poornima Patel, Vilas Newaskar, Deepak Agrawal

Published in: Oral and Maxillofacial Surgery | Issue 4/2016

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Abstract

Purpose

Long standing oral submucous fibrosis (OSMF) is associated with involvement of the oral submucosa and the muscles of mastication leading to difficulty in mouth opening. Various surgical modalities are mentioned for release but each has its own limitations. The aim of the study was to evaluate the postoperative mouth opening in patients of OSMF after excision of fibrous bands followed by coronoidotomy and surgical defect coverage by extended nasolabial flap.

Methods

We evaluated the use of extended nasolabial flaps and coronoidectomy in the management of 11 randomly selected patients with histologically confirmed oral submucous fibrosis. They all had interincisal opening of less than 25 mm and were treated by bilateral release of fibrous bands, coronoidectomy or coronoidotomy, and extended grafting with a nasolabial flap.

Result

Their interincisal opening improved significantly from a mean of 8.68±7 mm to a mean of 36.75±4.05 mm at 6-month follow-up.

Conclusion

The procedure was effective in the management of patients with oral submucous fibrosis, the main disadvantage being the extraoral scars.
Literature
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Khanna JN, Andrade NN (1995) Oral submucous fibrosis: a new concept in surgical management. Report of 100 cases. Int J Oral Maxillofac Surg 24:433–439CrossRefPubMed
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Chole RH, Gondivkar SM, Gadbail AR, Balsaraf S, Chaudhary S, Dhore SV et al (2012) Review of drug treatment of oral submucous fibrosis. Oral Oncol 48:393–398CrossRefPubMed
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Schwartz J: Atrophia idiopathic (tropica) mucosa oris. Demenstrated at the 11th Int Dent Congress. London, 1952.
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Hynes B, Boyd JB (1988) The nasolabial flap—axial or random. Arch Otolaryngol Head Neck Surg 114:1389–1391CrossRefPubMed
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Tsao C.K et al. Reconstruction of the buccal mucosa following release for submucous fibrosis using two radial forearm flaps from a single donor site, J Plast Reconstr Aesthet Surg (2009)
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Mehrotra D, Pradhan R, Gupta S (2009) Retrospective comparison of surgical treatment modalities in 100 patients with oral submucous fibrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:e1–10CrossRefPubMed
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Huang JJ, Wallace C, Lin JY, Tsao CK, Kao HK, Huang WC, Cheng MH, Wei FC (2010) Two small flaps from one anterolateral thigh donor site for bilateral buccal mucosa reconstruction after release of submucous fibrosis and/or contracture. J Plast Reconstr Aesthet Surg 63(3):440–5. doi:10.​1016/​j.​bjps.​2008.​12.​010.​
Metadata
Title
Surgical defect coverage in oral submucous fibrosis patients with single-stage extended nasolabial flap
Authors
Faisal Idrees
Poornima Patel
Vilas Newaskar
Deepak Agrawal
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 4/2016
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-016-0582-1

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