Efficacy of buccal fat pad in the surgical management of oral submucous fibrosis: a prospective study

Oral and Maxillofacial Surgery
Pravin LambadeAshutosh Thorat

Abstract

Various surgical treatment modalities have been advocated in the surgical management of oral submucous fibrosis with variable results. This prospective study evaluates the efficacy of buccal fat pad in the surgical treatment of oral submucous fibrosis. In the present study, 20 patients were treated for oral submucous fibrosis with interincisal mouth opening less than 16 mm. Surgical procedure included fibrotomy, all third molar extractions, and coronoidotomy or coronoidectomy followed by reconstruction of fibrotomy defect with buccal pad of fat. Postoperatively, patients were prescribed nutritional and antioxidant supplements along with vigorous mouth opening exercise for 6 months. Regular follow-up was carried out for 2 years. Excellent increase in the interincisal mouth opening was noticed relieving trismus. Patient's ability of masticate and tolerance to regular food was increased significantly. Buccal fat pad underwent rapid epithelization within a period of 5-7 weeks. Buccal fat pad can be used effectively in the surgical management of oral submucous fibrosis with good functional and esthetic outcome, with only drawback of supple lobulated fat, which requires delicate handling and its limitation to reach anteriorly beyond ...Continue Reading

References

Aug 1, 1991·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R M Borle, S R Borle
Feb 1, 1989·Plastic and Reconstructive Surgery·B DubinM Ferreira
Oct 1, 1988·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·D Gupta, S C Sharma
Dec 1, 1995·International Journal of Oral and Maxillofacial Surgery·J N Khanna, N N Andrade
Feb 17, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Divya MehrotraShalini Gupta
Dec 17, 2014·Oral and Maxillofacial Surgery·Pravin LambadePradip Thorat

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Citations

Jul 17, 2019·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Qian PengZhangui Tang
Mar 14, 2017·Maxillofacial Plastic and Reconstructive Surgery·Min-Keun KimSeong-Gon Kim
Sep 22, 2018·Oral and Maxillofacial Surgery·Himanshu ThukralShakil Ahmed Nagori
Dec 12, 2018·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Giuditta MannelliGiuseppe Spinelli

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