Extended nasolabial flaps in the management of oral submucous fibrosis.

Autor: Borle RM; Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Datta Meghe Institute of Medical Sciences University, Sawangi, Wardha, India. r.borle@rediffmail.com, Nimonkar PV, Rajan R
Jazyk: angličtina
Zdroj: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2009 Jul; Vol. 47 (5), pp. 382-5. Date of Electronic Publication: 2008 Nov 07.
DOI: 10.1016/j.bjoms.2008.08.019
Abstrakt: We evaluated the use of extended nasolabial flaps and coronoidectomy in the management of 47 randomly selected patients with histologically confirmed oral submucous fibrosis. They all had interincisal opening of less than 25 mm and were treated by bilateral release of fibrous bands, coronoidectomy or coronoidotomy, and extended grafting with a nasolabial flap. All patients had postoperative physiotherapy, and were followed up for 2 years. Their interincisal opening improved significantly from a mean of 14 mm (range 3-23) to a mean of 41 mm (range 23-55). The procedure was effective in the management of patients with oral submucous fibrosis, the main disadvantage being the extraoral scars.
Databáze: MEDLINE