Background and objectives: Oral submucous fibrosis (OSMF) is a chronic progressive premalignant condition, characterized by gradual trismus of mouth. The study was done to compare the efficacy of buccal fat pad (BFP) and collagen membrane as an interpositional material in surgical management of OSMF and also (1) to assess and compare the mouth opening achieved in both groups of patient; (2) the improvement in flexibility of buccal mucosa in both groups; (3) oral pain and burning sensation on intake of spicy food; (4) the rapidity in epithelialization of graft at the intraoral wound site.
The nasolabial flap is a well-known flap for the reconstruction of nasal, labial, and intraoral defects. Successful use of inferiorly based nasolabial flaps in the management of oral submucous fibrosis (OSMF) is projected in this article. We evaluated the use of nasolabial flap in the management of five patients with histologically confirmed OSMF. They all had interincisal opening of less than 20 mm and were treated by bilateral release of fibrous bands, measurement of intraoperative interincisal distance (greater than 35 mm achieved in all patients after release of bands), covering the defects with inferiorly based nasolabial flap. All patients had postoperative physiotherapy and were followed up regularly for 1 year. All flaps healed without evidence of infection, dehiscence, or necrosis.
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