NASOLABIAL FLAP AS A RECONSTRUCTIVE OPTION FOR THE MANAGEMENT OF SUBMUCOUS FIBROSIS– A CLINICAL STUDY

Dr. Pradeep Gupta; Dr. Nirmal Kumar Gupta; Dr. Mathura Prasad Agarwal

Volume : V, Issue : X, October - 2015

NASOLABIAL FLAP AS A RECONSTRUCTIVE OPTION FOR THE MANAGEMENT OF SUBMUCOUS FIBROSIS– A CLINICAL STUDY

Dr. Pradeep Gupta, Dr. Nirmal Kumar Gupta, Dr. Mathura Prasad Agarwal

Abstract :

BACKGROUND: Oral submucous fiosis is a peculiar ,progressive , inciduous, irreversible chronic debilitating disease associated with restricted mouth opening, blanching and stiffness of mucosa, burning sensation in mouth and hypomobility of soft palate and tongue with loss of gustatory sensation. OBJECTIVE:Surgery remain the main stay in severe cases and aims at release of fiotic band and resurfacing the raw area with different options. Successful use of inferiorly based nasolabial flap in the management of oral submucous fiosis is projected. METHOD:A TOTAL OF 12 histologically proven cases of oral sub mucous fiosis having a mouth opening less than 20 mm were surgically treated and covering the defect with inferiorly based nasolabial flap. RESULT:Result were assessed by compå the preoperatively and postoperatively maximum mouth opening . All the flap healed with out evidence of infection, dehiscence or necrosis. CONCULSION: The inferiorly based nasolabial flap provide reliable coverage of the defect of the buccal mucosa and improve mouth opening.