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Nasolabial and extended nasolabial flaps for reconstruction in oral submucous fibrosis

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2018, v.44 no.4, pp.191-197
Muhammad Umar Qayyum (Combined Military Hospital)
Omer Sefvan Janjua (Allied Hospital)
Ehtesham Ul Haq (Combined Military Hospital)
Rubbab Zahra (Cleft Hospital Gujrat Pakistan)

Abstract

Objectives: The objective of the study was to evaluate the results of nasolabial/extended nasolabial flaps as a modality for treatment of oral submu-cous fibrosis.Materials and Methods: Eleven patients of Stage III or IVa maximum interincisal opening were selected to be operated. Nasolabial/extended naso-labial flaps were done for both the sides. All of the flaps were done in a single stage and were inferiorly based. A similar flap harvest/surgical technique was utilized for all the cases.Results: The preoperative mouth opening ranged from 5 to 16 mm, with a mean of 10.09 mm. At 6 months the mouth opening ranged from 29 to 39 mm. Some of the complications encountered were poor scar, wisdom tooth traumatising the flap, decreased mouth opening due to non compliance and too much bulk. All of theses were managed satisfactorily.Conclusion: The nasolabial flap is a very reliable flap to restore the function of oral cavity. Important adjuvant measures are habit cessation, lifestyle changes, and aggressive physiotherapy.

keywords
Oral submucous fibrosis, Lamina propria, Mucous membrane

Journal of the Korean Association of Oral and Maxillofacial Surgeons