MANAGEMENT OF ORAL SUBMUCOUS FIBROSIS USING BILATERAL NASOLABIAL FLAP AS A SALVAGE FLAP- A CASE REPORT Authors: Murali S , MADHULAXMI M, AND SENTHILNATHAN P
ABSTRACT
Background:
Oral Submucous fibrosis is a chronic, complex, and pre-malignant condition of the oral cavity, which
is predominantly characterized by an inflammatory reaction in the underlying submucosal tissues. As
the disease progresses it clinically presents with limitation in mouth opening, and burning sensation in
the oral cavity. Most of the patients diagnosed with this condition are either associated with betel quid
or areca nut chewing and other forms of tobacco chewing habit.Versatility of Bilateral Nasolabial flap
which was used as a salvage flap for management of OSMF was evaluated for this patient who had a
relapse of the same condition 10 years back.
Case report:
A 60yr old female patient reported to oral surgery OPD at our hospital, with a chief complaint of
difficulty in mouth opening and pain during swallowing for the past 6 months.Patient also gave a
history of being operated for the same condition 10 years back, and had a habit of betel quid chewing
before the previous surgery and had discontinued the habit since then.On clinical examination evident
fibrous bands were palpable; with limited mouth opening of 15mm. Biopsy was done and
histopathological diagnosis of OSMF was made. Surgical plan of bilateral fibrotomy and
reconstruction with bilateral nasolabial flap was formulated.... Publication date: 1/1/21 https://ijbpas.com/pdf/2021/January/MS_IJBPAS_2021_5354.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2021/10.1.5354