The Use of Buccal Fat Pad in the Treatment of Oral Submucous Fibrosis: A Newer Method

Purpose of the study. This study was to evaluate the use of buccal fat pad as an interpositioning material in surgical management of oral sub mucous fibrosis.Materials and methods. A series of 8 cases with proven oral sub mucous fibrosis, with mouth opening less than 20 mm, involving the buccal mucosa were treated surgically in the Department of Oral and Maxillofacial Surgery, College of Dental Surgery, Saveetha University, Chennai. Pedicled buccal fat pad was used as an interpositioning material to cover the raw areas in the oral cavity after incision and release of fibrous bands.Results. In 8 patients, the range of pre operative mouth opening was 3–18 mm (mean 14 mm). As the result of the successful surgical procedure, the size of the intra operative mouth opening was ranged from 25–38 mm (mean 33.25 mm). The patients were discharged 5–7 days after the operation. The range of the mouth opening at this time was 25–36 mm (mean 30.63 mm). The results were evaluated using student’s t test and found to be statistically significant. The pedicled grafts took up uneventfull.

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A Clinico-Demographic Evaluation of Patients with Oral Submucous Fibrosis: a Cross Sectional Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i1331262 ◽

2021 ◽

pp. 22-29

Author(s):

Abdul Bari Memon ◽

Aneela Atta Ur Rahman ◽

Kashif Ali Channar ◽

Naresh Kumar

Keyword(s):

Significant Relationship ◽

Oral Submucous Fibrosis ◽

Maxillofacial Surgery ◽

Mouth Opening ◽

Burning Sensation ◽

University Hospital ◽

Oral And Maxillofacial Surgery ◽

Aged Patients ◽

Cross Sectional ◽

Submucous Fibrosis

Aim: To evaluate the Clinico-Demographic variables in patients of Oral Submucous Fibrosis Study Design: Descriptive Cross Sectional Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Liaquat Medical University Hospital from December 2017 to February 2019. Methodology: The recruitment of patients was done after the clinical diagnosis of oral sub mucous fibrosis (OSMF) patients. The demographic information and associated factors were recorded on the proforma. Mouth opening (MO) was measured between upper and lower central incisors with vernier caliper. Burning sensation (BS) and pain were measured using Visual Analog Scale (VAS). The data were analyzed by SPSS Version-16. Results: Male and female were (66%) and (34%) respectively. The mean age was 41.04±11.24. The frequency of gutka usage was 44% and 43% followed by betel nut as 21% and 23% in functional stages as per Inter Incisal Mouth Opening (IIMO-2) and (IIMO-3) respectively. The BS was shown as severe 49% and 40% followed by moderate as 32% and 37% in functional stages IIMO-2 and IIMO-3 respectively whereas pain was shown as severe 82% and 18% and as moderate 63% and 37% in functional stage M2 and M3 respectively showed statistically significant relationship (p=0.041). Conclusion: Males were more affected and middle aged patients were more involved. Majority of patients were using gutka and had 3rd functional stage of mouth opening. The burning sensation and pain were the most common clinical complains. There was significant relationship of functional stages with pain.

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Evaluating healing pattern after fibrotomy and myotomy followed by grafting with buccal fat pad and collagen in oral submucous fibrosis patients: a case series

International Surgery Journal ◽

10.18203/2349-2902.isj20213140 ◽

2021 ◽

Vol 8 (8) ◽

pp. 2424

Author(s):

Ajita Dwivedi ◽

Abhishek M. Tiwari ◽

Abhigyan Kumar

Keyword(s):

Oral Submucous Fibrosis ◽

Mouth Opening ◽

Case Series ◽

Scar Tissue ◽

Clinical Findings ◽

Graft Material ◽

Fat Pad ◽

Buccal Fat Pad ◽

Bovine Collagen ◽

Submucous Fibrosis

This study was conducted to assess the healing pattern of buccal fat pad and collagen as intraoral graft post fibrotomy and masticator myotomy in oral submucous fibrosis patients. The study was conducted on 20 patients with reduced mouth opening due to oral submucous fibrosis (Khanna and Andrade classification grade 3 and 4 a), randomly divided into 2 groups. In one group, buccal fat pad was harvested and in other group only wet bovine collagen sheet was applied as surgical dressing in the intra-oral wound after fibrotomy and masticator myotomy. Healing pattern of both as graft material were compared based on clinical findings. Healing occurs following epithelialization of the buccal fat pad which gradually takes the color of the buccal mucosa. Xenogenic collagen offers better coverage of the surgical wound but degenerates itself in the course of healing. The covered wound epithelializes without scar tissue formation and patients experience less symptoms during healing phase.

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Clinical Evaluation of Buccal Fat Pad and Nasolabial Flap for Oral Submucous Fibrosis Intraoral Defects

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/1943387520962264 ◽

2020 ◽

pp. 194338752096226

Author(s):

Venkatesh Anehosur ◽

Pravesh K. Singh ◽

Punit S. Dikhit ◽

Hitesh Vadera

Keyword(s):

Oral Submucous Fibrosis ◽

Mouth Opening ◽

Nasolabial Flap ◽

Fat Pad ◽

Buccal Fat Pad ◽

Scar Assessment ◽

Group I ◽

Submucous Fibrosis ◽

The Mean ◽

Group Ii

Objective: Surgical defects following fibrotomy in oral submucous fibrosis (OSMF) are difficult to manage due to relapse, and local flaps play a pivotal role in covering the defect. The purpose of this study is to compare the buccal fat pad (BFP) and nasolabial flap (NLF) for the reconstruction of intraoral defects after the release of fibrous bands in patients with OSMF. Methods: A prospective study was conducted on patients with OSMF with surgical treatment of fibrotomy excision and reconstruction of the defect with 2 options. Thirty patients with OSMF were divided into 2 groups, group I (BFP) and group II (NLF). Both groups were analyzed for preoperative and postoperative mouth opening and oral commissural width; the extraoral scar was assessed using the Stony Brook Scar Assessment Scale. The data were statistically analyzed using paired and unpaired t test. Results: Thirty patients comprising 27 (90%) male and 3 (10%) female with ages ranging between 19 and 51 years were involved. The mean preoperative and postoperative interincisal mouth opening was 12 mm and 27 mm in group I and 11 mm and 38 mm in group II, respectively, showing a significant increase in group II, and the mean preoperative and postoperative commissural width was 52 mm and 58 mm in group I and 51 mm and 60 mm in group II, respectively. Conclusion: The proposed surgical protocol for the management of OSMF found NLF superior to BFP for the reconstruction of intraoral defects after the release of fibers in patients with OSMF, with a minimal residual scar.

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Coronoidectomy, masticatory myotomy and buccal fat pad graft in management of advanced oral submucous fibrosis

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2012.03.027 ◽

2012 ◽

Vol 41 (11) ◽

pp. 1416-1421 ◽

Cited By ~ 11

Author(s):

M.C. Kothari ◽

N. Hallur ◽

B. Sikkerimath ◽

S. Gudi ◽

C.R. Kothari

Keyword(s):

Oral Submucous Fibrosis ◽

Fat Pad ◽

Buccal Fat Pad ◽

Submucous Fibrosis

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Comparison of Efficacy of Buccal Fat Pad and Collagen Membrane in Surgical Management of Oral Submucous Fibrosis

International Journal of Preventive and Clinical Dental Research ◽

10.5005/jp-journals-10052-0110 ◽

2017 ◽

Vol 4 (3) ◽

pp. 210-217

Author(s):

Rajbir K Randhawa ◽

Gagandeep S Randhawa ◽

Saba Tiwari ◽

KC Gupta ◽

Anisha Maria ◽

...

Keyword(s):

Surgical Management ◽

Oral Submucous Fibrosis ◽

Collagen Membrane ◽

Fat Pad ◽

Buccal Fat Pad ◽

Submucous Fibrosis

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Emancipators in oral sub mucous fibrosis: An update

International Journal of Dentistry Research ◽

10.31254/dentistry.2021.6207 ◽

2021 ◽

Vol 6 (2) ◽

pp. 59-64

Author(s):

Subharina Mahapatra ◽

◽

Manjula Hebbale ◽

Amit Mhapuskar ◽

Richa Jain ◽

...

Keyword(s):

Surgical Treatment ◽

Literature Search ◽

Oral Submucous Fibrosis ◽

Mouth Opening ◽

Treatment Modalities ◽

Established Method ◽

Pharmacological Agents ◽

Cochrane Database ◽

Submucous Fibrosis ◽

Oral Sub Mucous Fibrosis

Oral submucous fibrosis is a chronic insidious oral mucosal condition causing trismus and reduced mouth opening and it is affecting predominantly Indian and other Asians. The treatment of trismus requires combination of pharmacological agents, surgical therapy and physiotherapy, the latter is essential for preventing relapse due to postoperative inactivity and scarring as well as for improvement of mouth opening. Computerized literature search was performed from 1993 till 2021 to select eligible articles from the following databases: PUBMED [MEDLINE], SCOPUS, SCIENCE DIRECT, and COCHRANE DATABASE using specific keywords. The search was limited to articles published as full text in English, which were screened by two reviewers for eligibility.This article describes in depth about various appliances, devices used in oral submucous fibrosis. The devices can be used along with pharmacological and surgical treatment modalities or can be used alone. Mouth exercise is also well-established method to improve mouth opening and also to prevent postsurgical relapse. This article is one of the rare article that describes all the appliances together either directly used or indirectly used for the case of microstomia due to oral sub mucous fibrosis.

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