Surgical management of Oral submucous fibrosis

CN Yogishwarappa and Abhishek Vijayakumar/ International Journal of Biomedical and Advance Research 2016; 7(5): 213-218.

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International Journal of Biomedical and Advance Research ISSN: 2229-3809 (Online); 2455-0558 (Print) Journal DOI: 10.7439/ijbar CODEN: IJBABN

Original Research Article

Surgical management of Oral submucous fibrosis CN Yogishwarappa and Abhishek Vijayakumar* Department of Plastic Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka 560002 India

*Correspondence Info: Dr. Abhishek Vijayakumar #128 Vijay Doctors colony, Konanakunte Bangalore 560062 India E-mail: [email protected]

Abstract Background: Oral submucous fibrosis (OSF), globally accepted as an Indian disease, has one of the highest rates of malignant transformation amongst potentially malignant oral lesions and conditions. The hallmark of the disease is submucosal fibrosis that affects most parts of the oral cavity, pharynx and upper third of the esophagus leading to dysphagia and progressive trismus due to rigid lips and cheeks. Nonsurgical measures like local steroids, hyaluronidase injections, vitamin supplements and jaw opening exercises have poor results. There lack of guidelines for choosing the surgical procedures. Methods: This prospective study was done on 13 cases of clinically diagnosed oral submucous fibrosis during 2012-2015. After diagnosis these patients are grouped according to the severity of the disease proposed by Chandramani More. The patients underwent either release and split skin grafting or Nasolabial flap or Superficial temporal artery fascial flap for intra oral cover. The results were analysed for postoperative mouth opening and complications. Results: Of the total 13 patients studied 8 were male and 5 females. The age ranged from 22 years to 68 year (Mean= 43 years). Preoperative functional stage was ten patients 15-25mm mouth opening (M3) and three patient