Ullah Hidayat, Maqsood Afsheen, Faheem Samra, Khan Zafar Ali, Ganji Kiran Kumar, Bashir Omer, Ahmed Naseer, Heboyan Artak
District Specialist Dentistry, DHQ Hospital Lower dir Timergrah, Mansehra, Pakistan.
Department of Oral Pathology, Bahria University Dental College, Karachi, Pakistan.
Clin Med Insights Case Rep. 2023 Aug 3;16:11795476231191030. doi: 10.1177/11795476231191030. eCollection 2023.
The objective of this study was to evaluate the outcomes of the nasolabial flap in the management of oral submucous fibrosis (OSMF). The descriptive case series included 75 patients diagnosed with OSMF who underwent surgical intervention under general anesthesia. Preoperative mouth opening measurements were compared with postoperative measurements taken after 2 months. Regarding mouth opening, out of the 75 patients, 4 (5.3%) had unsatisfactory results after treatment, while 22 (29.3%) experienced satisfactory outcomes. The majority of patients, 49 (65.3%), achieved normal mouth opening (more than 30 mm) following the Nasolabial flap procedure. This indicates that the Nasolabial flap yielded favorable results in terms of restoring normal mouth opening and benefiting the patients. Based on the findings of this study, the Nasolabial flap was determined to be a viable surgical option for managing oral submucous fibrosis due to its ease of operation, reliable flap vascularity, and low post-operative complication rate. The only drawback identified was the presence of a surgical scar, which can be addressed through secondary correction procedures.
本研究的目的是评估鼻唇瓣在治疗口腔黏膜下纤维化（OSMF）中的效果。该描述性病例系列包括75例被诊断为OSMF且在全身麻醉下接受手术干预的患者。将术前张口度测量值与术后2个月时的测量值进行比较。关于张口度，75例患者中，4例（5.3%）治疗后效果不满意，而22例（29.3%）效果满意。大多数患者，即49例（65.3%），在接受鼻唇瓣手术后实现了正常张口（超过30毫米）。这表明鼻唇瓣在恢复正常张口度和使患者受益方面产生了良好效果。基于本研究的结果，由于其操作简便、皮瓣血运可靠且术后并发症发生率低，鼻唇瓣被确定为治疗口腔黏膜下纤维化的一种可行手术选择。唯一发现的缺点是存在手术瘢痕，这可通过二次矫正手术解决。
