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Functional outcome of two different grafting techniques in the surgical management of oral submucous fibrosis: a comparative evaluation

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Abstract

Objective

To evaluate the functional efficacy of two different grafting techniques following the fibrotomy among subjects with oral submucous fibrosis (OSMF).

Design

Forty consecutively treated OSMF subjects between 20 and 40 years who had grades 3 and 4a OSMF and mouth opening < 15 mm were included in the present study. All the subjects were randomly divided into two groups. In Group I, all the subjects received a buccal pad of fat sandwiched with a nasolabial flap following fibrotomy. In contrast, Group II subjects received a buccal pad of fat combined with a collagen graft. The effect of two different surgical protocols on mouth opening was evaluated clinically before the surgery (T0) and 1 month (T1), 6 months (T2), and 12 months (T3) after the surgery.

Results

In Group I subjects, the mouth opening increased significantly (P < 0.001) from 10.90 ± 1.971 mm at T0 to 34.25 ± 3.127 mm at T1, but reduced marginally to 32.15 ± 3.422 mm at T2, and 31.30 ± 3.358 mm at T3. In Group II, the mouth opening increased significantly (P < 0.001) from 10.85 ± 1.725 mm at T0 to 28.90 ± 3.059 mm, 29.10 ± 2.808 mm, and 28.20 ± 2.285 mm at T1, T2, and T3, respectively. At the end of 12 months of follow-up, the mean value improvement in the mouth opening (T0–T3) was 20.4 ± 3.5 mm and 17.3 ± 2.9 mm in Groups I and II, respectively, and the difference was statistically significant (P = 0.006).

Conclusion

The buccal pad of fat sandwiched with a nasolabial flap for the reconstruction following fibrotomy had a slightly better beneficial effect on the postoperative mouth opening among OSMF subjects.

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Authors and Affiliations

  1. Department of Dentistry, All India Institute of Medical Sciences, Sijua, Bhubaneswar, Odisha, India

    Saubhik Dasukil & Ashok Kumar Jena

  2. Department of Trauma and Emergency, All India Institute of Medical Sciences, Sijua, Bhubaneswar, Odisha, India

    Kiran Kumar Boyina

  3. Abhishek Hospital, Jaipur, India

    Supreet Grover

  4. Department of Oral and Maxillofacial Surgery, SGT Dental College and Hospital, Gurugram, India

    Geetanjali Arora

  5. Department of Public Health, JSUMS, Jackson, MS, USA

    Zain Uddin Ahmed

Authors
  1. Saubhik Dasukil
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  2. Ashok Kumar Jena
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  3. Kiran Kumar Boyina
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  4. Supreet Grover
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  5. Geetanjali Arora
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  6. Zain Uddin Ahmed
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Corresponding author

Correspondence to Kiran Kumar Boyina.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all the individual participants, included in the study.

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The authors declare no competing interests.

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Dasukil, S., Jena, A.K., Boyina, K.K. et al. Functional outcome of two different grafting techniques in the surgical management of oral submucous fibrosis: a comparative evaluation. Oral Maxillofac Surg 26, 477–483 (2022). https://doi.org/10.1007/s10006-021-01016-z

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  • DOI: https://doi.org/10.1007/s10006-021-01016-z

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