Comparative Evaluation of Buccal Fat Pad and Nasolabial Flap for the Surgical Management of Oral Submucous Fibrosis

Prarthana Basu *

ITS Dental College Hospital and Research Centre, India.

Himanshu Bhutani

ITS Dental College Hospital and Research Centre, India.

Ashish Sharma

ITS Dental College Hospital and Research Centre, India.

Bikram Rana

ITS Dental College Hospital and Research Centre, India.

Debdeep Bhattacharya

ITS Dental College Hospital and Research Centre, India.

*Author to whom correspondence should be addressed.


Abstract

Oral submucous fibrosis is a disease very commonly found in southeast Asia . After release of the fibrous bands intraoral defects can be covered by a wide range of flap. Here we have compared Buccal fat pad and Nasolabial flap for the coverage of intraoral defects after release of fibrous bands in oral submucous fibrosis. Both the flaps have their significant advantages and disadvantages. While it has been observed that in certain studies Nasolabial flap has a little edge on buccal fat pad on the intericisal mouth opening. It has been found that there are diasadvantages of intraoral hair growth and extraoral scarring which are not observed when used Buccal fat pad.

Keywords: Buccal fat, surgical management, oral submucous fibrosis, crippling fibrotic disorder


How to Cite

Basu , P., Bhutani , H., Sharma , A., Rana , B., & Bhattacharya , D. (2023). Comparative Evaluation of Buccal Fat Pad and Nasolabial Flap for the Surgical Management of Oral Submucous Fibrosis. Asian Journal of Dental Sciences, 6(1), 274–296. Retrieved from https://journalajds.com/index.php/AJDS/article/view/156

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References

Saravanan K, Narayanan V. The use of buccal fat pad in the treatment of oral submucous fibrosis: A newer method. International journal of dentistry. 2012 May 15;201.2

Kothari MC, Hallur N, Sikkerimath B, Gudi S, Kothari CR. Coronoidectomy, masticatory myotomy and buccal fat pad graft in management of advanced oral submucous fibrosis. International journal of oral and maxillofacial surgery. 2012 Nov 1;41(11):1416-21.

Singh G, Mishra M, Gaur A, Srivastava A, Shukla B, Das G. Collagen membrane over buccal fat pad versus buccal fat pad in management of oral submucous fibrosis: A comparative prospective study. Journal of maxillofacial and oral surgery. 2018 Dec;17(4) 482:17

Lambade P, Meshram V, Thorat P, Dawane P, Thorat A, Rajkhokar D. Efficacy of nasolabial flap in reconstruction of fibrotomy defect in surgical management of oral submucous fibrosis: a prospective study. Oral and maxillofacial surgery. 2016 Mar 1;20(1):45-50..

Mehrotra D, Pradhan R, Gupta S. Retrospective comparison of surgical treatment modalities in 100 patients with oral submucous fibrosis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009 Mar 1;107(3):e1.

Rai A, Datarkar A, Rai M. Is buccal fat pad a better option than nasolabial flap for reconstruction of intraoral defects after surgical release of fibrous bands in patients with oral submucous fibrosis? A pilot study: a protocol for the management of oral submucous fibrosis. Journal of Cranio-Maxillofacial Surgery. 2014 Jul 1;42(5):e111-6.

Lee JT, Cheng LF, Chen PR, Wang CH, Hsu H, Chien SH, Wei FC. Bipaddled radial forearm flap for the reconstruction of bilateral buccal defects in oral submucous fibrosis. International Journal of Oral and Maxillofacial Surgery. 2007 Jul 1;36(7):615-9.

Huang JJ, Wallace C, Lin JY, Tsao CK, Kao HK, Huang WC, Cheng MH, Wei FC. Two small flaps from one anterolateral thigh donor site for bilateral buccal mucosa reconstruction after release of submucous fibrosis and/or contracture. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2010 Mar 1;63(3):440-5.

Angadi PV, Rao S. Management of oral submucous fibrosis: an overview. Oral and maxillofacial surgery. 2010 Sep;14(3):133-42.

Agarwal R, Kaushal A, Singh RK, Upadhyay Y. Management of oral submucous fibrosis by different surgical approaches: Report of three cases. Case Reports. 2013 Jan 2;2013:bcr2012007871.

Bande C, Dawane P, Gupta MK, Gawande M, Rode V. Immediate versus delayed aggressive physical therapy following buccal fat pad interposition in oral submucous fibrosis—a prospective study in Central India. Oral and Maxillofacial Surgery. 2016 Dec;20(4):397-403.

Tiwari P, Bera RN, Chauhan N. What is the Optimal Reconstructive Option for Oral Submucous Fibrosis? A Systematic Review and Meta- analysis of Buccal Pad of Fat Versus Conventional Nasolabial and Extended Nasolabial Flap Versus Platysma Myocutaneous Flap. Journal of Maxillofacial and Oral Surgery. 2020 May 5:1-8.

Agrawal D, Pathak R, Newaskar V, Idrees F, Waskle R. A comparative clinical evaluation of the buccal fat pad and extended nasolabial flap in the reconstruction of the surgical defect in oral submucous fibrosis patients. Journal of Oral and Maxillofacial Surgery. 2018 Mar 1;76(3):67

Sharma R, Thapliyal GK, Sinha R, Menon PS. Use of buccal fat pad for treatment of oral submucous fibrosis. Journal of Oral and Maxillofacial Surgery. 2012 Jan 1;70(1):228-32.

Patil SB, Durairaj D, Kumar GS, Karthikeyan D, Pradeep D. Comparison of extended nasolabial flap versus buccal fat pad graft in the surgical management of oral submucous fibrosis: A prospective pilot study. Journal of Maxillofacial and Oral Surgery. 2017 Sep;16(3):312-21.

Thukral H, Chowdhury SK, Nagori SA. Surgical management of oral submucous fibrosis using buccal fat pad: A retrospective study of 30 cases. Oral and maxillofacial surgery. 2018 Dec;22(4):403.

Lambade P, Dawane P, Thorat A. Efficacy of buccal fat pad in the surgical management of oral submucous fibrosis: a prospective study. Oral and Maxillofacial Surgery. 2016 Jun 1;20(2):167-70.

Surej KL, Kurien NM, Sakkir N. Buccal fat pad reconstruction for oral submucous fibrosis. National Journal of Maxillofacial Surgery. 2010 Jul;1(2):164.

Kamath VV. Surgical interventions in oral submucous fibrosis: A systematic analysis of the literature. Journal of Maxillofacial and Oral Surgery. 2015 Sep;14(3):521- 31.

Balaji SM. Versatility of nasolabial flaps for the management of severe trismus in oral submucous fibrosis. Indian Journal of Dental Research. 2016 Sep 1;27(5):492.

Mukherjee S, Dandagi S. Versatility of buccal pad fat and temporoparietal fascia flap in surgical management of oral submucous fibrosis. Annals of Maxillofacial Surgery. 2019 Jul;9(2):444.

Kshirsagar R, Mohite A, Gupta S, Patankar A, Sane V, Raut P. Complications in the use of bilateral inferiorly based nasolabial flaps for advanced oral submucous fibrosis. National Journal of Maxillofacial Surgery. 2016 Jul;7(2):115.

Idrees F, Patel P, Newaskar V, Agrawal D. Surgical defect coverage in oral submucous fibrosis patients with single-stage extended nasolabial flap. Oral and Maxillofacial Surgery. 2016 Dec;20(4):411-5.

Kshirsagar R, Chugh A, Rai A. Bilateral inferiorly based nasolabial flaps for the management of advanced oral submucous fibrosis. Journal of Maxillofacial and Oral Surgery. 2010 Mar 1;9(1):22-6.

Borle RM, Nimonkar PV, Rajan R. Extended nasolabial flaps in the management of oral submucous fibrosis. British Journal of Oral and Maxillofacial Surgery. 2009 Jul 1;47(5):382-5.

Pandey A, Sharma NK, Dhiman NK, Jaiswara C, Tiwari P, Singh AK, Verma V, Singh S. Comparative evaluation of buccal pad of fat with and without bovine collagen membrane in the management of oral submucous fibrosis: A prospective clinical study. National Journal of Maxillofacial Surgery. 2020 Jan;11(1):57.

Shetty SK, Sarkar S. The Versatility of Nasolabial Flaps in Maxillofacial Surgery. Journal of maxillofacial and oral surgery. 2019 Dec;18(4):589-9.

Qayyum MU, Janjua OS, Haq EU, Zahra R. Nasolabial and extended nasolabial flaps for reconstruction in oral submucous fibrosis. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2018 Aug 1;44(4):191-7.