M.D.S. Oral and Maxillofacial Surgery, Gulbarga, Karnataka, India.
Int J Oral Maxillofac Surg. 2012 Nov;41(11):1416-21. doi: 10.1016/j.ijom.2012.03.027. Epub 2012 Apr 30.
The purpose of this study is to evaluate coronoidectomy, masticatory myotomy and buccal fat pad graft in advanced (Stage III-IV) oral sub mucous fibrosis (OSF). 10 patients with clinically and histologically confirmed advanced OSF underwent surgery entailing bilateral coronoidectomy, masticatory muscle myotomy and closure with a pedicled buccal fat pad graft followed by vigorous mouth opening exercises. The result was evaluated using the interincisal distance at maximum mouth opening as the objective outcome measure over a follow up period of 12 months. Results showed a mean interincisal opening of 14.7 mm preoperatively and 32.5 mm at 12 months postoperatively. Relapse was encountered in one patient who did not cooperate with the postoperative exercise regime. Results suggest this regime is effective.
本研究旨在评估冠状突切除术、咀嚼肌切开术和颊脂垫移植术在晚期（III-IV 期）口腔黏膜下纤维性变（OSF）中的应用。10 例经临床和组织学证实的晚期 OSF 患者接受了手术治疗，包括双侧冠状突切除术、咀嚼肌切开术，并采用带蒂颊脂垫移植进行闭合，随后进行了剧烈的张口锻炼。通过最大张口时的切牙间距离作为客观的结果测量，在 12 个月的随访期内进行评估。结果显示，术前平均切牙间开口为 14.7mm，术后 12 个月为 32.5mm。有 1 例患者术后不配合锻炼，出现复发。结果表明该治疗方案有效。
