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Comparison of Extended Nasolabial Flap Versus Buccal Fat Pad Graft in the Surgical Management of Oral Submucous Fibrosis: A Prospective Pilot Study

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Aim

To evaluate the application of extended nasolabial flap versus buccal fat pad graft in the surgical management of oral submucous fibrosis.

Settings and Design

This prospective study was carried out in the Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai.

Material and Methods

A total of 8 patients (6 men and 2 women) with age range from 21 to 65 years were selected for study. These 8 patients were randomly divided into two groups of four namely group 1 and group 2. In group 1 patients, reconstruction was planned with extended nasolabial flaps and in group 2 patients, reconstruction was planned with buccal fat pad graft respectively.

Statistical Analysis Used

Paired t test, Independent sample t test, ANOVA test.

Results

The mean preoperative mouth opening in group 1 was 8.5 mm and in group 2 was 11.75 mm. The mean increase in group 1 after one year of postoperative period was 21.50 mm and in group 2 was 24.75 mm.

Conclusions

In the present study, buccal fat pad graft proved to give better results as the interposition material as it has good patient acceptance, rapid epithelization, minimal donor site morbidity and minimal intra and postoperative complications.

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Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, B.V.D.U. Dental College and Hospital, Sangli, Maharashtra, 416414, India

    Sandeep B. Patil

  2. ‘Pratibha’, Plot No. 21, Herwade Colony, Jaysingpur, Kolhapur, Maharashtra, 416101, India

    Sandeep B. Patil

  3. Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, 600003, India

    D. Durairaj, G. Suresh Kumar & D. Karthikeyan

  4. Sri kumaran illam, 3/19, First cross street, Ragava nagar, Moovarasampet, Chennai, Tamil Nadu, 600091, India

    D. Durairaj

  5. 1/88, Vellavar Street, Purasawalkam, Chennai, Tamil Nadu, 600084, India

    G. Suresh Kumar

  6. 49 Old No. 22/1, GR Ananda Complex, Manikam street, Choolai, Chennai, Tamil Nadu, 600112, India

    D. Karthikeyan

  7. Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India

    D. Pradeep

  8. S/o G. Dhasarathan, No. 1/24, Vembuli Nayakar street, Vanagaram, Chennai, Tamil Nadu, 600095, India

    D. Pradeep

Authors
  1. Sandeep B. Patil
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  2. D. Durairaj
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  4. D. Karthikeyan
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  5. D. Pradeep
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Correspondence to Sandeep B. Patil.

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No conflict of interest for any author.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Patil, S.B., Durairaj, D., Suresh Kumar, G. et al. Comparison of Extended Nasolabial Flap Versus Buccal Fat Pad Graft in the Surgical Management of Oral Submucous Fibrosis: A Prospective Pilot Study. J. Maxillofac. Oral Surg. 16, 312–321 (2017). https://doi.org/10.1007/s12663-016-0975-6

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  • DOI: https://doi.org/10.1007/s12663-016-0975-6

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