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Aim: The study was aimed at evaluating the efficacy of modified technique for treatment of Grade III and Grade IV oral submucous fibrosis. Postoperative mouth opening and cheek flexibility after surgical intervention was evaluated after 6 months.
Materials and Methods: A total of 5 patients with oral submucous fibrosis with reduced mouth opening were included in the study. The patients were operated and modified technique was incorporated to interpose the defect created after fibrotomy. The modified technique used buccal fat pad to cover the posterior defect and Split thickness skin graft to cover the defect anteriorly till the corner of mouth. The patients were evaluated for mouth opening and cheek flexibility postoperatively and followed up after 6 months. All these data were recorded and evaluated for success.
Results: The three-finger mouth opening was successfully achieved in all the five patients. The discomfort of the patient was minimum. Only 1 patient showed delayed healing out of 5 patients. Burning sensation of mouth along with other symptoms of OSMF were reduced.
Conclusion: The modification technique used for interposition after fibrotomy in OSMF is overall a better modality for treatment of oral lesions as it is more acceptable by the patient. The procedure though has shown to have faster recovery needs further comparison with gold standard nasolabial flap for interposition.
Rao et al. Oral submucous fibrosis: a contemporary narrative review with a proposed interprofessional approach for an early diagnosis and clinical management Journal of Otolaryngology - Head and Neck Surgery (2020) 49:3.
Passi D, Bhanot P, Kacker D, Chahal D, Atri M, Panwar Y. Oral submucous fibrosis: Newer proposed classification with critical updates in pathogenesis and management strategies. Natl J Maxillofac Surg. 2017;8(2):89-94.
More CB, Das S, Patel H, Adalja C, Kamatchi V, Venkatesh R. Proposed clinical classification for oral submucous fibrosis. Oral Oncol. 2012;48(3):200–2.
Gupta H, Grover N, Misra A. CLASSIFICATION SYSTEMS IN ORAL SUBMUCOUS FIBROSIS PATIENTS: A REVIEW. :7.
Thakur N and Kumar V. An outline of existing clinical classification system for oral submucous fibrosis. J Res Adv Dent 2014;3(2):72-5.
Gupta, Grover, Tyagi, Misra.Classification Systems in Oral Submucous Fibrosis Patients: A Review. TMU J Dent 2018; (5) 2: 13-19.
More CB, Gupta S, Joshi J, Varma SN. Classification System for Oral Submucous Fibrosis. J Indian Aca Oral Med Radiol 2012;24(1):24-29.
Shih YH, Wang TH, Shieh TM, Tseng YH. Oral Submucous Fibrosis: A Review on Etiopathogenesis, Diagnosis, and Therapy. Int J Mol Sci. 2019 Jun 16;20(12):2940.
Surej KL, Kurien NM, Sakkir N. Buccal fat pad reconstruction for oral submucous fibrosis. Natl J Maxillofac Surg. 2010 Jul;1(2):164-7.
Gupte, et al.: Autogenous Buccal Fat Pad in the Treatment of Oral Submucous Fibrosis. International Journal of Scientific Study 2014; 6(1).
D.J.C. Yen., “Surgical treatment of submucous fibrosis,” Oral Surgery, Oral Medicine, and Oral Pathology, 1982;vol. 54, no. 3, pp. 269–272.
Chaudhry Z, Gupta SR, Oberoi SS. The Efficacy of ErCr:YSGG Laser Fibrotomy in Management of Moderate Oral Submucous Fibrosis: A Preliminary Study. J Maxillofac Oral Surg. 2014 Sep;13(3):286-94.
Egyedi P. Utilization of the buccal fat pad for closure of oroantral and/or oro-nasal communication. J Maxillofac Surg. 1977;5:241–4.
Braza ME, Fahrenkopf MP. Split-Thickness Skin Grafts. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551561/.
Chan JC, Ward J, Quondamatteo F, Dockery P, Kelly JL. Skin thickness of the anterior, anteromedial, and anterolateral thigh: a cadaveric study for split-skin graft donor sites. Archives of Plastic Surgery. 2014 Nov;41(6):673-678.
Mehrotra D., Pradhan R., Gupta S. “Retrospective comparison of surgical treatment modalities in 100 patients with oral submucous fibrosis.” Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107.
Ramsey ML, Walker B, Patel BC. Full Thickness Skin Grafts. [Updated 2022 May 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532875/.
Saravanan K, Narayanan V. The use of buccal fat pad in the treatment of oral submucous fibrosis: a newer method. Int J Dent. 2012;2012:935135.
Singh G, Mishra M, Gaur A, Srivastava A, Shukla B, Das G. Collagen Membrane Over Buccal Fat Pad Versus Buccal Fat Pad in Management of Oral Submucous Fibrosis: A Comparative Prospective Study. J Maxillofac Oral Surg. 2018 Dec;17(4):482-487.