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Efficacy of buccal fat pad in the surgical management of oral submucous fibrosis: a prospective study

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Abstract

Purpose

Various surgical treatment modalities have been advocated in the surgical management of oral submucous fibrosis with variable results. This prospective study evaluates the efficacy of buccal fat pad in the surgical treatment of oral submucous fibrosis.

Patients and Method

In the present study, 20 patients were treated for oral submucous fibrosis with interincisal mouth opening less than 16 mm. Surgical procedure included fibrotomy, all third molar extractions, and coronoidotomy or coronoidectomy followed by reconstruction of fibrotomy defect with buccal pad of fat. Postoperatively, patients were prescribed nutritional and antioxidant supplements along with vigorous mouth opening exercise for 6 months. Regular follow-up was carried out for 2 years.

Results

Excellent increase in the interincisal mouth opening was noticed relieving trismus. Patient’s ability of masticate and tolerance to regular food was increased significantly. Buccal fat pad underwent rapid epithelization within a period of 5–7 weeks.

Conclusion

Buccal fat pad can be used effectively in the surgical management of oral submucous fibrosis with good functional and esthetic outcome, with only drawback of supple lobulated fat, which requires delicate handling and its limitation to reach anteriorly beyond the canine region.

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Authors and Affiliations

  1. Hope Multispecialty Hospital and Research Center, Nagpur, India

    Pravin Lambade

  2. 14, Nehru nagar, Near Surendra Nagar Basket Ball Ground, Nagpur, Maharashtra, 440015, India

    Pravin Lambade

  3. Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India

    Pawan Dawane & Ashutosh Thorat

Authors
  1. Pravin Lambade
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  2. Pawan Dawane
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  3. Ashutosh Thorat
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Corresponding author

Correspondence to Pravin Lambade.

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This study obtained approval from an institutional ethical committee.

Conflict of interest

The authors declare that they have no competing interests.

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Lambade, P., Dawane, P. & Thorat, A. Efficacy of buccal fat pad in the surgical management of oral submucous fibrosis: a prospective study. Oral Maxillofac Surg 20, 167–170 (2016). https://doi.org/10.1007/s10006-016-0546-5

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  • DOI: https://doi.org/10.1007/s10006-016-0546-5

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