J Korean Assoc Oral Maxillofac Surg.  2018 Aug;44(4):191-197. 10.5125/jkaoms.2018.44.4.191.

Nasolabial and extended nasolabial flaps for reconstruction in oral submucous fibrosis

Affiliations
  • 1Specialist Oral and Maxillofacial Surgeon, 112 Military Dental Centre, Combined Military Hospital, Kharian Cantt, Pakistan. mumarqayyum@gmail.com
  • 2Department of Oral and Maxillofacial Surgery, Allied Hospital, Faisalabad, Pakistan.
  • 3Plastic and Reconstructive Surgeon, Combined Military Hospital, Kharian Cantt, Pakistan.
  • 4Specialist Oral and Maxillofacial Surgeon, Department of Dentistry, Cleft Hospital Gujrat Pakistan, 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 submucous fibrosis.
MATERIALS AND METHODS
Eleven patients of Stage III or IVa maximum interincisal opening were selected to be operated. Nasolabial/extended nasolabial 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.

Keyword

Oral submucous fibrosis; Lamina propria; Mucous membrane

MeSH Terms

Cicatrix
Compliance
Humans
Life Style
Molar, Third
Mouth
Mucous Membrane
Oral Submucous Fibrosis*
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