Surej Kumar L K, Kurien Nikhil M, Sakkir Nasil
Department of Oral and Maxillofacial Surgery, PMS College of Dental Science and Research, Vattappara, Trivandrum, Kerala, India.
Natl J Maxillofac Surg. 2010 Jul;1(2):164-7. doi: 10.4103/0975-5950.79222.
Oral submucous fibrosis is a chronic debilitating disease characterized by gradually increasing fibrosis of the oral cavity and pharynx, mainly the buccal mucosa, resulting in trismus. Prepotency of the disease is seen in the Indian subcontinent, with its highest incidence in South India due to various deleterious habits. In spite of the numerous medical modalities employed in the management of oral submucous fibrosis, occasionally surgical intervention becomes inevitable. Various flaps have been used to reconstruct the surgical defects following excision of fibrous bands. Undoubtedly; the buccal fat pad remains the most versatile because of its excellent blood supply and minimal donor site morbidity. Here we present a case of severe oral submucous fibrosis surgically treated and reconstructed using buccal fat pad.
口腔黏膜下纤维化是一种慢性致残性疾病,其特征为口腔和咽部,主要是颊黏膜逐渐出现纤维化,导致牙关紧闭。该疾病在印度次大陆较为常见,由于各种有害习惯,在印度南部发病率最高。尽管在口腔黏膜下纤维化的治疗中采用了多种医学方法,但偶尔手术干预仍不可避免。在切除纤维带后,已使用各种皮瓣来修复手术缺损。毫无疑问,颊脂垫因其良好的血供和最小的供区并发症而仍然是最通用的。在此,我们报告一例使用颊脂垫进行手术治疗和修复的严重口腔黏膜下纤维化病例。