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Collagen Membrane Over Buccal Fat Pad Versus Buccal Fat Pad in Management of Oral Submucous Fibrosis: A Comparative Prospective Study

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Abstract

Objective

The objective of this study was to assess the effectiveness of collagen membrane as biological dressing over buccal fat pad (BFP) during crucial postoperative healing phase in the surgical management of oral submucous fibrosis (OSMF).

Study Design

The study comprised of 40 patients of OSMF of group IVa (Khanna and Andrade). Patients were randomly divided in two groups (20 patients in each group). Group I patients were treated using buccal fat pad only, whereas collagen membrane was used as a covering over harvested BFP in group II patients. Postoperative follow-up was done at 1 week, 3 weeks, 6 months and 1 year.

Result

Mean postoperative mouth opening achieved in both the groups was comparable at every follow-up visit. Infection was evident in four patients of group I at 1-week follow-up, whereas none of the group II patients developed infection. Pain score was lesser in group II patients as compared to group I. Relapse was seen in two patients in group I and one patient in group II. Time taken for epithelialization was 2–3 weeks in both the groups.

Conclusion

Although intraoperative time was increased in group II application of collagen membrane reduced infection when compared with group I. Also, the chances of damage to BFP are reduced during the hygiene maintenance at surgical site and jaw-opening exercise. Reduction in pain scores during postoperative period in group II patients was an additional advantage.

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References

  1. 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

    Article  CAS  PubMed  Google Scholar 

  2. Khanna JN, Andrade NN (1995) Oral submucousfibrosis: a new concept in surgical management, report of 100 cases. Int J Oral Maxillofac Surg 24:433–439

    Article  CAS  PubMed  Google Scholar 

  3. Mohammad SA, Ali SA, Ali AS, Chaubey KK (2006) Epidemiological and etiological study of oral submucous fibrosis among gutkha chewers of Patna, Bihar, India. J Indian Soc Pedod Prevent Dent 24:84–89

    Article  Google Scholar 

  4. Ganpathi M, Shashikanth MC (2011) Oral submucous fibrosis in 12 year old boy—a rare case report. J Ind Dent Assoc 5:124–125

    Google Scholar 

  5. More C, Asrani M, Patel H, Adalja C (2010) Oral submucous fibrosis—a hospital based retrospective study. Pearldent 141:423–428

    Google Scholar 

  6. Jiang X, Hu J (2009) Drug treatment of oral submucous fibrosis: a review of literature. J Oral Maxillofac Surg 67:1510–1515

    Article  PubMed  Google Scholar 

  7. Issac U, Issac JS, Khoso NA (2008) Histopathologic feature of oral submucous fibrosis: a study of 35 biopsy specimens. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 56:556–560

    Article  Google Scholar 

  8. Joshi SG (1953) Fibrosis of the palate and pillars. Indian J Otolaryngol 4:1

    Google Scholar 

  9. Pindborg JJ (1966) Oral submucous fibrosis as a precancerous condition. J Dent Res 45:546–553

    Article  Google Scholar 

  10. Tupkari JV, Bhavthankar JD, Mandale MS (2007) Oral submucous fibrosis: a study of 101 cases. J Indian Acad Oral Med Radiol 19:311–318

    Google Scholar 

  11. Tilakratne WM, Kliniowski MF, Saku T, Peters TJ, Warnakulasuriya S (2006) Oral submucous fibrosis: review on aetiology and pathogenesis. Oral Oncol 42:561–568

    Article  Google Scholar 

  12. 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 RadiolEndod 107:e1–e10

    Article  Google Scholar 

  13. Gupta D, Sharma SC (1988) Oral submucous fibrosis—a new treatment regimen. J Oral Maxillofac Surg 46:830–833

    Article  CAS  PubMed  Google Scholar 

  14. Yeh CY (1996) Application of the buccal fat pad to the surgical treatment of oral submucous fibrosis. Int J Oral Maxillofac Surg 25:130–133

    Article  CAS  PubMed  Google Scholar 

  15. Huang IY, Wu CF, Shen YS, Yang CF, Shieh TY, Hsu HJ, Chen CH, Chen CM (2008) Importance of patient’s cooperation in surgical treatment of oral submucous fibrosis. J Oral Maxillofac Surg 66:699–703

    Article  PubMed  Google Scholar 

  16. Lai DR, Chen HR, Lin LM, Huang YL, Tsai CC, Lai DR (1995) Clinical evaluation of different treatment methods for oral sub mucous fibrosis. A 10-year experience with 150 cases. J Oral Pathol Med 24:402–406

    Article  CAS  PubMed  Google Scholar 

  17. Huang JJ, Wallace C, Lin JY, Tsao CK, Kao HK, Huang WC, Cheng MH, Wei FC (2009) 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 Aesth Surg 63:440–445

    Article  Google Scholar 

  18. Mokal NJ, Raje RS, Ranade SV, Rajendra Prasad JS, Thatte RL (2005) 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

    Article  CAS  PubMed  Google Scholar 

  19. Borle RM, Nimonkar PV, Rajan R (2008) Extended nasolabial flaps in the management of oral submucous fibrosis. Br J Oral Maxillofac Surg 47:382–385

    Article  PubMed  Google Scholar 

  20. Rapidis AD, Alexandridis CA, Eleftheriadis E, Angelopoulos AP (2000) The use of the buccal fat pad for reconstruction of the oral defects: review of the literature and report of 15 cases. J Oral Maxillofac Surg 58:158–163

    Article  CAS  PubMed  Google Scholar 

  21. Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R (2009) Closure of oroantral communication with Bichat’s buccal fat pad. J Oral Maxillofac Surg 67:1460–1466

    Article  PubMed  Google Scholar 

  22. Baumann A, Ewers R (2000) Application of the buccal fat pad in oral reconstruction. J Oral Maxillofac Surg 58:389–392

    Article  CAS  PubMed  Google Scholar 

  23. Chakrabarti J, Tekriwal R, Ganguli A, Ghosh S, Mishra PK (2009) Pedicled buccal fat pad flap for intraoral malignant defects: a series of 29 cases. Indian J Plast Surg 42:36–42

    Article  PubMed  PubMed Central  Google Scholar 

  24. Sharma R, Thapliyal GK, Singha R, Suresh MP (2012) Use of buccal fat pad for treatment of oral submucous fibrosis. J Oral Maxillofac Surg 70(1):228–232

    Article  PubMed  Google Scholar 

  25. Tideman H, Bosanquet A, Scott J (1986) Use of buccal fat pad as pedicled graft. J Oral Maxillofac Surg 44:435–440

    Article  CAS  PubMed  Google Scholar 

  26. Shaikh SK, Mishra M, Singh G, Aurora JK, Khurshid S (2014) Effectiveness of buccal fat pad in surgical management of oral submucous fibrosis: a prospective study of 20 cases. J Oral Maxillofac Surg Med Pathol 26:308–311

    Article  Google Scholar 

  27. Paramhans D, Mathur RK, Newaskar V, Shukla S, Sudrania MK (2010) Role of collagen membrane for reconstruction of buccal defects following fibrotic band excision and coronoidectomy in oral submucous fibrosis. MP Soc Otolaryngol Waent 3:1

    Google Scholar 

  28. Reddy YR, Srinath N, Nandakumar H, Ranjnikanth M (2012) Role of collagen impregnated with dexamethasone and placentrix in patients with oral submucous fibrosis. J Maxillofac Oral Surg 11:166–170

    Article  Google Scholar 

  29. Rastogi S, Modi M, Sathian S (2009) The efficacy of collagen membrane as a biodegradable wound dressing material for surgical defects of oral mucosa: a prospective study. J Oral Maxillofac Surg 67:1600–1606

    Article  PubMed  Google Scholar 

  30. Chang YM, Tsai CY, Kildal M, Wei FC (2004) Importance of coronoidotomy and masticatory muscle myotomy in surgical release of trismus caused by submucous fibrosis. Plast Reconstr Surg 113:1949–1954

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India

    Gaurav Singh, Madan Mishra, Amit Gaur, Abhinav Srivastava, Bharat Shukla & Gourab Das

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  1. Gaurav Singh
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  2. Madan Mishra
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  3. Amit Gaur
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  4. Abhinav Srivastava
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  6. Gourab Das
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Correspondence to Madan Mishra.

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Singh, G., Mishra, M., Gaur, A. et al. Collagen Membrane Over Buccal Fat Pad Versus Buccal Fat Pad in Management of Oral Submucous Fibrosis: A Comparative Prospective Study. J. Maxillofac. Oral Surg. 17, 482–487 (2018). https://doi.org/10.1007/s12663-017-1041-8

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  • DOI: https://doi.org/10.1007/s12663-017-1041-8

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