Abstract
Purpose
We evaluated the use of extended nasolabial flaps in the management of oral submucous fibrosis.
Methods
We evaluated the use of extended nasolabial flaps in the management of 27 randomly selected patients with histologically confirmed oral submucous fibrosis. They all had interincisal opening of less than 20 mm and were treated by bilateral release of fibrous bands and extended grafting with a nasolabial flap. All patients had postoperative physiotherapy, and were followed up for one year.
Results
Their interincisal opening improved significantly from a mean of 11mm (range 3–19) to a mean of 39 mm (range 23–48).
Conclusions
The procedure was effective in the management of patients with oral submucous fibrosis, the main disadvantage being the extraoral scars.
Similar content being viewed by others
References
Gupta D, Sharma SC (1988) Oral submucous fibrosis—a new treatment regimen. J Oral Maxillofac Surg 46:830–833
Paymaster JC (1956) Cancer of the buccal mucosa: clinical study of 650 cases in Indian patients. Cancer 9:431–435
Murti PR, Bhonsale RB, Pindborg JJ, Daftary DK, Gupta PC, Mehta FS (1985) Malignant transformation rate in oral submucous fibrosis over a 17 year period. Community Dent Oral Epidemiol 13:340–341
Borle RM, Borle SR (1991) Management of oral submucous fibrosis. J Oral Maxillofac Surg 49:788–791
Khanna JN, Andrade NN (1995) Oral submucous fibrosis: a new concept in surgical management. Report of 100 cases. Int J Oral Maxillofac Surg 24:433–439
Kavarana NM, Bhathena HM (1987) Surgery for severe trismus in submucous fibrosis. Br J Plast Surg 40:407–409
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
Wei FC, Chang YM, Kildal M, Tsang WS, Chen HC (2001) Bilateral small radial forearm flaps for the reconstruction of buccal mucosa after surgical release of submucosal fibrosis: a new reliable approach. Plast Reconstr Surg 107:1679–1683
Canniff JP, Harvey W, Harris M (1986) Oral submucous fibrosis—its pathogenesis and management. Br Dent J 160:429–433
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Agarwal, M., Gupta, D.K. & Tiwari, A.D. Extended Nasolabial Flaps in the Management of Oral Submucous Fibrosis. J. Maxillofac. Oral Surg. 10, 216–219 (2011). https://doi.org/10.1007/s12663-011-0236-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-011-0236-7