Thukral Himanshu, Roy Chowdhury Sanjay Kumar, Nagori Shakil Ahmed
Department of Oral and Maxillofacial Surgery, Army Dental Centre (Research & Referral), Delhi, India.
Department of Oral and Maxillofacial Surgery, Armed Forces Medical College, Pune, India.
Oral Maxillofac Surg. 2018 Dec;22(4):403-408. doi: 10.1007/s10006-018-0721-y. Epub 2018 Sep 21.
The aim of our study was to evaluate the effectiveness of buccal fat pad (BFP) in the management of oral submucous fibrosis (OSMF). Retrospective records of 30 patients of OSMF treated with BFP with atleast a year of follow-up were analyzed. Patients were divided into groups based on the stages of OSMF. Surgical management consisted of resection of fibrous bands, bilateral temporalis myotomy, and coronoidectomy followed by grafting with BFP. There were 17 patients of stage III (mouth opening 16-25 mm) and 13 patients of stage IV OSMF (mouth opening less than 16 mm). The mean mouth opening of stage III group pre-operatively was 19.94 ± 2.19 mm which increased to a mean of 35.12 ± 5.69 mm (p < 0.0001). For patients with stage IV OSMF, the mouth opening increased from a pre-operative of 10.23 ± 4.07 mm to a post-operative of 31.46 ± 6.78 mm (p < 0.0001). No intra-operative complications were noted in any patient. Relapse was seen in 1 patient (5.8%) of stage III while 3 patients (23.07%) had relapse in stage IV group. Our results indicate that BFP is a good flap owing to its benefits which are easy to harvest and entails minimal morbidity for management of OSMF.
我们研究的目的是评估颊脂垫（BFP）在口腔黏膜下纤维化（OSMF）治疗中的有效性。分析了30例接受BFP治疗且随访至少一年的OSMF患者的回顾性记录。患者根据OSMF的阶段分组。手术治疗包括切除纤维带、双侧颞肌切开术和冠突切除术，然后用BFP进行移植。其中17例为III期患者（开口度16 - 25毫米），13例为IV期OSMF患者（开口度小于16毫米）。III期组术前平均开口度为19.94 ± 2.19毫米，术后增至平均35.12 ± 5.69毫米（p < 0.0001）。对于IV期OSMF患者，开口度从术前的10.23 ± 4.07毫米增加到术后的31.46 ± 6.78毫米（p < 0.0001）。所有患者均未出现术中并发症。III期有1例患者（5.8%）复发，IV期组有3例患者（23.07%）复发。我们的结果表明，BFP是一种良好的皮瓣，因其易于获取且在OSMF治疗中发病率极低。
