Surgical Management of Oral Submucous Fibrosis by Comparing Two Flaps: A Comparative Study

  • Aneela Amjad Assistant Professor of Oral Medicine Sharif Medical & Dental College Lahore
  • Uzair bin Akhtar Assistant Professor of OMFS Sharif Medical & Dental College Lahore
  • Nighat Zahid Assistant Professor of Oral Medicine Lahore Medical & Dental College Lahore
  • Asad Aizaz Chatha Assistant Professor of Oral & Maxillofacial Surgery, King Edward Medical University Lahore
Keywords: Oral submucous fibrosis, Buccal fat pad, Nasolabial flap, inter incisal mouth opening

Abstract

Background: Oral submucous fibrosis is a chronic disease which is slow and progressive in nature and results in reduced mouth opening. A lot of treatments options such as physiotherapy, medicinal management and surgical therapy have been used with varying amount of success, but not any of them have been found to be a definitive management option. Objective: To compare the efficacy of buccal fat pad against extended nasiolabial flap in the surgical correction of oral submucous fibrosis. Settings and Design: This comparative study was conducted in the Department of Oral and Maxillofacial Surgery, Sharif Medical and Dental College, Lahore, Pakistan during 2013-2016. Methodology: Patients with a total of 12 (8 male and 4 female) having age ranging from 17 to 50 years and fulfilling the criteria were included in study. Out of 12, six patients were alloted to each group namely group 1 and group 2. In group 1 patients, the defect was reconstructed by buccal fat pad and in group 2 patients; the defect was reconstructed by extended nasolabial flaps. Statistical Analysis Used Paired t test, Independent sample t test. Results: The mean mouth opening preoperatively in group 1 was 7.67 mm and in group 2 was 7.83 mm. The mean mouth opening in group 1 was 29.83 mm and in group 2 was 34.67 mm after one year postoperatively. Conclusions: In this study, extended nasolabial flap is slightly better than buccal fat pad in terms of mouth opening. However buccal fat pad is esthetically more acceptable than extended nasolabial flap. 

Published
2017-09-19
How to Cite
Amjad, A., Akhtar, U. bin, Zahid, N., & Chatha, A. A. (2017). Surgical Management of Oral Submucous Fibrosis by Comparing Two Flaps: A Comparative Study. Annals of Punjab Medical College, 11(3), 191-195. https://doi.org/10.29054/apmc/2017.193