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The use of buccal fat pad in the treatment of oral submucous fibrosis: a newer method.

Saravanan K, Narayanan V - Int J Dent (2012)

Bottom Line: Results.The results were evaluated using student's t test and found to be statistically significant.The pedicled grafts took up uneventfull.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Vinayaka Missions Sankaracharya Dental College and Hospital, Salem 636308, India.

ABSTRACT
Purpose of the study. This study was to evaluate the use of buccal fat pad as an interpositioning material in surgical management of oral sub mucous fibrosis. Materials and methods. A series of 8 cases with proven oral sub mucous fibrosis, with mouth opening less than 20 mm, involving the buccal mucosa were treated surgically in the Department of Oral and Maxillofacial Surgery, College of Dental Surgery, Saveetha University, Chennai. Pedicled buccal fat pad was used as an interpositioning material to cover the raw areas in the oral cavity after incision and release of fibrous bands. Results. In 8 patients, the range of pre operative mouth opening was 3-18 mm (mean 14 mm). As the result of the successful surgical procedure, the size of the intra operative mouth opening was ranged from 25-38 mm (mean 33.25 mm). The patients were discharged 5-7 days after the operation. The range of the mouth opening at this time was 25-36 mm (mean 30.63 mm). The results were evaluated using student's t test and found to be statistically significant. The pedicled grafts took up uneventfull.

No MeSH data available.


Related in: MedlinePlus

Incision and buccal fat pad exposed and harvested.
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Related In: Results  -  Collection


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fig3: Incision and buccal fat pad exposed and harvested.

Mentions: The buccal fat pad was approached on the posterior superior margin of the created buccal defect (Figure 3), that is, posterior to the zygomatic buttress. After blunt dissection, through the sub mucosa the buccal fat pad was mobilised gently until a significant amount was obtained to cover the defect without tension. This was done by using small artery forceps and gently letting out the buccal fat pad to the raw area. Pedicled buccal fat pad was used as a graft material to cover the areas. The buccal fat pad was secured in place by horizontal mattress sutures or simple interrupted sutures with 3/0 Vicryl. The same procedure was performed on the other side. The buccal fat pad covered the buccal defects posteriorly to the soft palate and anteriorly to the corners of the mouth (Figures 4 and 5).


The use of buccal fat pad in the treatment of oral submucous fibrosis: a newer method.

Saravanan K, Narayanan V - Int J Dent (2012)

Incision and buccal fat pad exposed and harvested.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3362129&req=5

fig3: Incision and buccal fat pad exposed and harvested.
Mentions: The buccal fat pad was approached on the posterior superior margin of the created buccal defect (Figure 3), that is, posterior to the zygomatic buttress. After blunt dissection, through the sub mucosa the buccal fat pad was mobilised gently until a significant amount was obtained to cover the defect without tension. This was done by using small artery forceps and gently letting out the buccal fat pad to the raw area. Pedicled buccal fat pad was used as a graft material to cover the areas. The buccal fat pad was secured in place by horizontal mattress sutures or simple interrupted sutures with 3/0 Vicryl. The same procedure was performed on the other side. The buccal fat pad covered the buccal defects posteriorly to the soft palate and anteriorly to the corners of the mouth (Figures 4 and 5).

Bottom Line: Results.The results were evaluated using student's t test and found to be statistically significant.The pedicled grafts took up uneventfull.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Vinayaka Missions Sankaracharya Dental College and Hospital, Salem 636308, India.

ABSTRACT
Purpose of the study. This study was to evaluate the use of buccal fat pad as an interpositioning material in surgical management of oral sub mucous fibrosis. Materials and methods. A series of 8 cases with proven oral sub mucous fibrosis, with mouth opening less than 20 mm, involving the buccal mucosa were treated surgically in the Department of Oral and Maxillofacial Surgery, College of Dental Surgery, Saveetha University, Chennai. Pedicled buccal fat pad was used as an interpositioning material to cover the raw areas in the oral cavity after incision and release of fibrous bands. Results. In 8 patients, the range of pre operative mouth opening was 3-18 mm (mean 14 mm). As the result of the successful surgical procedure, the size of the intra operative mouth opening was ranged from 25-38 mm (mean 33.25 mm). The patients were discharged 5-7 days after the operation. The range of the mouth opening at this time was 25-36 mm (mean 30.63 mm). The results were evaluated using student's t test and found to be statistically significant. The pedicled grafts took up uneventfull.

No MeSH data available.


Related in: MedlinePlus