Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature
Oral submucous fibrosis [OSF] is a premalignant condition characterized by inflammation and progressive fibrosis of submucosal tissue, resulting in trismus. It is associated with chewing of areca nut in betel quid. Mortality rate is significant because it transforms into oral squamous cell carcinoma...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Dental Research |
| Subjects: | |
| Online Access: | http://www.ijdr.in/article.asp?issn=0970-9290;year=2019;volume=30;issue=3;spage=472;epage=477;aulast=Ravikumar |
| _version_ | 1818202564193157120 |
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| author | Kamal Kanthan Ravikumar U Nausath Khan Priyadarshini Karthik Ramakrishnan S Nachiappan |
| author_facet | Kamal Kanthan Ravikumar U Nausath Khan Priyadarshini Karthik Ramakrishnan S Nachiappan |
| author_sort | Kamal Kanthan Ravikumar |
| collection | DOAJ |
| description | Oral submucous fibrosis [OSF] is a premalignant condition characterized by inflammation and progressive fibrosis of submucosal tissue, resulting in trismus. It is associated with chewing of areca nut in betel quid. Mortality rate is significant because it transforms into oral squamous cell carcinoma at a rate of 2.3%–7.6%. The aim of this article is to share our experience in managing a case of recurrent oral submucous fibrosis with nil mouth opening by surgical excision, coronoidotomy, and reconstruction of buccal defect using bilateral inferiorly based nasolabial flap, followed by active oral physiotherapy. The patient had reached an acceptable mouth opening with no further recurrence. The patient was observed closely for any malignant transformation. Surgical excision of bands and coronoidotomy followed by reconstruction with nasolabial flaps and active physiotherapy in the postoperative period remains a good option for recurrent and advanced cases of OSF with acceptable functional and cosmetic results. |
| first_indexed | 2024-12-12T03:11:27Z |
| format | Article |
| id | doaj.art-fd733531dd744f53a05803721b7fb52f |
| institution | Directory Open Access Journal |
| issn | 0970-9290 1998-3603 |
| language | English |
| last_indexed | 2024-12-12T03:11:27Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj.art-fd733531dd744f53a05803721b7fb52f2022-12-22T00:40:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032019-01-0130347247710.4103/ijdr.IJDR_423_17Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literatureKamal Kanthan RavikumarU Nausath KhanPriyadarshiniKarthik RamakrishnanS NachiappanOral submucous fibrosis [OSF] is a premalignant condition characterized by inflammation and progressive fibrosis of submucosal tissue, resulting in trismus. It is associated with chewing of areca nut in betel quid. Mortality rate is significant because it transforms into oral squamous cell carcinoma at a rate of 2.3%–7.6%. The aim of this article is to share our experience in managing a case of recurrent oral submucous fibrosis with nil mouth opening by surgical excision, coronoidotomy, and reconstruction of buccal defect using bilateral inferiorly based nasolabial flap, followed by active oral physiotherapy. The patient had reached an acceptable mouth opening with no further recurrence. The patient was observed closely for any malignant transformation. Surgical excision of bands and coronoidotomy followed by reconstruction with nasolabial flaps and active physiotherapy in the postoperative period remains a good option for recurrent and advanced cases of OSF with acceptable functional and cosmetic results.http://www.ijdr.in/article.asp?issn=0970-9290;year=2019;volume=30;issue=3;spage=472;epage=477;aulast=RavikumarNasolabial flapsnil mouth openingrecurrent oral submucous fibrosissquamous cell carcinomasurgical excision |
| spellingShingle | Kamal Kanthan Ravikumar U Nausath Khan Priyadarshini Karthik Ramakrishnan S Nachiappan Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature Indian Journal of Dental Research Nasolabial flaps nil mouth opening recurrent oral submucous fibrosis squamous cell carcinoma surgical excision |
| title | Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature |
| title_full | Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature |
| title_fullStr | Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature |
| title_full_unstemmed | Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature |
| title_short | Recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap: A case report and review of literature |
| title_sort | recurrent oral submucous fibrosis with nil mouth opening surgical management and reconstruction with bilateral nasolabial flap a case report and review of literature |
| topic | Nasolabial flaps nil mouth opening recurrent oral submucous fibrosis squamous cell carcinoma surgical excision |
| url | http://www.ijdr.in/article.asp?issn=0970-9290;year=2019;volume=30;issue=3;spage=472;epage=477;aulast=Ravikumar |
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