Sandeep B Patil1,2, D Durairaj3,4, G Suresh Kumar3,5, D Karthikeyan3,6, D Pradeep7,8. 1. Department of Oral and Maxillofacial Surgery, B.V.D.U. Dental College and Hospital, Sangli, Maharashtra 416414 India. 2. 'Pratibha', Plot No. 21, Herwade Colony, Jaysingpur, Kolhapur, Maharashtra 416101 India. 3. Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu 600003 India. 4. Sri kumaran illam, 3/19, First cross street, Ragava nagar, Moovarasampet, Chennai, Tamil Nadu 600091 India. 5. 1/88, Vellavar Street, Purasawalkam, Chennai, Tamil Nadu 600084 India. 6. 49 Old No. 22/1, GR Ananda Complex, Manikam street, Choolai, Chennai, Tamil Nadu 600112 India. 7. Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospital, Chennai, Tamil Nadu India. 8. S/o G. Dhasarathan, No. 1/24, Vembuli Nayakar street, Vanagaram, Chennai, Tamil Nadu 600095 India.
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.
RCT Entities:
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.