Oral Submucous Fibrosis - A New Concept in Surgical Management

  

  A. Thangavelu , P. Subramaniam , Janardhanan , Suraj John Thomas

   DOI : https://doi.org/

 Abstract

Various surgeries have been used to release fibrotic bands in oral submucous fibrosis, but all of them are associated with complications and morbidities. The aim of our study is to evaluate the effect of coronoidectomy with excision of fibrotic bands. A total of five histologically proven cases of advanced oral submucous fibrosis, with a mouth opening of less than 20 mm, were surgically treated. The procedure involved, bilateral release of fibrotic bands, bilateral coronoidectomy, and covering the buccal defects with a collagen membrane, if required. Regular follow-up was done, and results were assessed by comparing the preoperative and postoperative mean intraoperative interincisal distance. After band excision and coronoidectomy, the mean intraoperative interincisal distance increased up to 38.2 mm. The procedure of coronoidectomy after fibrotic bands release had excellent results, providing adequate mouth opening with no recurrence till the last follow-up.

 Keywords

Oral Submucous Fibrosis, Surgical Management, Coronoidectomy.

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