Abstract
The aim of our study was to evaluate the effectiveness of buccal fat pad (BFP) in the management of oral submucous fibrosis (OSMF). Retrospective records of 30 patients of OSMF treated with BFP with atleast a year of follow-up were analyzed. Patients were divided into groups based on the stages of OSMF. Surgical management consisted of resection of fibrous bands, bilateral temporalis myotomy, and coronoidectomy followed by grafting with BFP. There were 17 patients of stage III (mouth opening 16–25 mm) and 13 patients of stage IV OSMF (mouth opening less than 16 mm). The mean mouth opening of stage III group pre-operatively was 19.94 ± 2.19 mm which increased to a mean of 35.12 ± 5.69 mm (p < 0.0001). For patients with stage IV OSMF, the mouth opening increased from a pre-operative of 10.23 ± 4.07 mm to a post-operative of 31.46 ± 6.78 mm (p < 0.0001). No intra-operative complications were noted in any patient. Relapse was seen in 1 patient (5.8%) of stage III while 3 patients (23.07%) had relapse in stage IV group. Our results indicate that BFP is a good flap owing to its benefits which are easy to harvest and entails minimal morbidity for management of OSMF.
Similar content being viewed by others
References
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 Endodontology 107:e1–e10
Tilakaratne WM, Ekanayaka RP, Warnakulasuriya S (2016) Oral submucous fibrosis: a historical perspective and a review on etiology and pathogenesis. Oral Surg Oral Med Oral Pathol Oral Radiol 122:178–191
Khanna JN, Andrade NN (1995) Oral submucous fibrosis: a new concept in surgical management. Int J Oral Maxillofac Surg 24:433–439
Patil SB, Durairaj D, Suresh Kumar G, Karthikeyan D, Pradeep D (2017) Comparison of extended nasolabial flap versus buccal fat pad graft in the surgical management of oral submucous fibrosis: a prospective pilot study. J Maxillofac Oral Surg 16:312–321
Kothari MC, Hallur N, Sikkerimath B, Gudi S, Kothari CR (2012) Coronoidectomy, masticatory myotomy and buccal fat pad graft in management of advanced oral submucous fibrosis. Int J Oral Maxillofac Surg 41:1416–1421
Lai DR, Chen HR, Lin LM, Huang YL, Tsai CC (1995) Clinical evaluation of different treatment methods for oral submucous fibrosis. A 10-year experience with 150 cases. J Oral Pathol Med 24:402–406
Jiang X, Hu J (2009) Drug treatment of oral submucous fibrosis: a review of the literature. J Oral Maxillofac Surg 67:1510–1515
Sharma R, Thapliyal GK, Sinha R, Menon PS (2012) Use of buccal fat pad for treatment of oral submucous fibrosis. J Oral Maxillofac Surg 70:228–232
Yeh CJ (1996) Application of the buccal fat pad to the surgical treatment of oral submucous fibrosis. Int J Oral Maxillofac Surg 25:130–133
Yousuf S, Tubbs RS, Wartmann CT, Kapos T, Cohen-Gadol AA, Loukas M (2010) A review of the gross anatomy, functions, pathology, and clinical uses of the buccal fat pad. Surg Radiol Anat 32:427–436
Lambade P, Dawane P, Thorat A (2016) Efficacy of buccal fat pad in the surgical management of oral submucous fibrosis: a prospective study. Oral Maxillofac Surg 20:167–170
Rai A, Datarkar A, Rai M (2014) Is buccal fat pad a better option than nasolabial flap for reconstruction of intraoral defects after surgical release of fibrous bands in patients with oral submucous fibrosis? A pilot study: a protocol for the management of oral submucous fibrosis. J Cranio-Maxillofacial Surg 42:e111–e116
Pradhan H, Gupta H, Sinha VP, Gupta S, Shashikanth MC (2012) Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison. J Oral Biol Craniofacial Res 2:10–14
Mokal NJ, Raje RS, Ranade SV, Prasad JSR, Thatte RL (2017) Release of oral submucous fibrosis and reconstruction using superficial temporal fascia flap and split skin graft;a new technique. Br J Plast Surg 58:1055–1060
Huang JJ, Wallace C, Lin JY et al (2017) 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 Aesthetic Surg 63:440–445
Lee JT, Cheng LF, Chen PR et al (2017) Bipaddled radial forearm flap for the reconstruction of bilateral buccal defects in oral submucous fibrosis. Int J Oral Maxillofac Surg 36:615–619
Ko EC, Shen YH, Yang CF, Huang IY, Shieh TY, Chen CM (2009) Artificial dermis as the substitute for split-thickness skin graft in the treatment of Oral submucous fibrosis. J Craniofac Surg 20:443–445
Idrees F, Patel P, Newaskar V, Agrawal D (2016) Surgical defect coverage in oral submucous fibrosis patients with single-stage extended nasolabial flap. Oral Maxillofac Surg 20:411–415
Shah SB, Tauro DP (2017) Clinical and histological basis for the use of nasolabial tissues in the surgical management of oral submucous fibrosis. J Oral Maxillofac Surg 73:2251.e1–2251.e12
Arce K (2007) Buccal fat pad in maxillary reconstruction. Atlas Oral Maxillofac Surg Clin North Am 15:23–32
Huang IY, Wu CF, Shen YS et al (2017) Importance of patient & cooperation in surgical treatment for oral submucous fibrosis. J Oral Maxillofac Surg 66:699–703
Agarwal R, Kaushal A, Singh RK, Upadhyay Y (2013) Management of oral submucous fibrosis by different surgical approaches: report of three cases. BMJ Case Rep 2013:2012–2014
Sakkir N, Surej Kumar L, Kurien N (2010) Buccal fat pad reconstruction for oral submucous fibrosis. Natl J Maxillofac Surg 1:164–167
Saravanan K, Narayanan V (2012) The use of buccal fat pad in the treatment of oral submucous fibrosis : a newer method. Int J Dent 2012:935135
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
Ethical approval was obtained from Institutional ethical committee.
Rights and permissions
About this article
Cite this article
Thukral, H., Roy Chowdhury, S.K. & Nagori, S.A. Surgical management of oral submucous fibrosis using buccal fat pad: a retrospective study of 30 cases. Oral Maxillofac Surg 22, 403–408 (2018). https://doi.org/10.1007/s10006-018-0721-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-018-0721-y