Journal of Maxillofacial and Oral Surgery

, Volume 16, Issue 3, pp 312–321 | Cite as

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

  • Sandeep B. Patil
  • D. Durairaj
  • G. Suresh Kumar
  • D. Karthikeyan
  • D. Pradeep
Research Paper



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.


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.


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.


Oral submucous fibrosis Extended nasolabial flap Buccal fat pad graft Inter-incisal mouth opening 


Compliance with Ethical Standards

Conflict of interest

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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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Sandeep B. Patil
    • 1
    • 2
  • D. Durairaj
    • 3
    • 4
  • G. Suresh Kumar
    • 3
    • 5
  • D. Karthikeyan
    • 3
    • 6
  • D. Pradeep
    • 7
    • 8
  1. 1.Department of Oral and Maxillofacial SurgeryB.V.D.U. Dental College and HospitalSangliIndia
  2. 2.KolhapurIndia
  3. 3.Department of Oral and Maxillofacial SurgeryTamil Nadu Government Dental College and HospitalChennaiIndia
  4. 4.ChennaiIndia
  5. 5.ChennaiIndia
  6. 6.ChennaiIndia
  7. 7.Department of Oral and Maxillofacial SurgerySaveetha Dental College and HospitalChennaiIndia
  8. 8.ChennaiIndia

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