Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison

ABSTRACT: Introduction: Oral submucous fibrosis (OSMF), a chronic debilitating condition of the mouth, has been treated both surgically and non-surgically, but non-surgical methods yield inconsistent results. The surgical methods essentially comprise of bilateral sectioning of fibrous bands with or...

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Main Authors: Harsha Pradhan, Hemant Gupta, VP Sinha, Sumit Gupta, MC Shashikanth
Format: Article
Language:English
Published: Elsevier 2012-01-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426812600049
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author Harsha Pradhan
Hemant Gupta
VP Sinha
Sumit Gupta
MC Shashikanth
author_facet Harsha Pradhan
Hemant Gupta
VP Sinha
Sumit Gupta
MC Shashikanth
author_sort Harsha Pradhan
collection DOAJ
description ABSTRACT: Introduction: Oral submucous fibrosis (OSMF), a chronic debilitating condition of the mouth, has been treated both surgically and non-surgically, but non-surgical methods yield inconsistent results. The surgical methods essentially comprise of bilateral sectioning of fibrous bands with or without coronoidectomy followed by covering of the surgical defect with a graft or a wound dressing material such as collagen sheet. Materials and Methods: This study comprised 30 clinically diagnosed cases of OSMF. This study compared transposition of buccal pad fat graft with collagen sheet to cover the defect within the following parameters: pain, swelling, mouth opening, color of mucosa, palpability of fibrous bands, and suppleness of mucosa. Results: We found significant difference in the postoperative mouth opening, an insignificant difference for post surgical morbidity and higher grades of surgical convenience in using collagen sheet as a wound dressing material. Conclusion: Collagen membrane is a superior method compared to transposition of the buccal pad of fat as a graft to cover the surgical wound in the treatment of OSMF of grade III and above.
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series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-aeb7aa11bbba435f835c610f26abec622025-08-20T02:01:55ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682012-01-0121101410.1016/S2212-4268(12)60004-9Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparisonHarsha Pradhan0Hemant Gupta1VP Sinha2Sumit Gupta3MC Shashikanth4Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Babu Banarsi Das College of Dental Sciences, Lucknow, India; Correspondence: Dr. Harsha PradhanProfessor and Head, Department of Oral and Maxillofacial Surgery, Babu Banarsi Das College of Dental Sciences, Lucknow, IndiaReader, Babu Banarsi Das College of Dental Sciences, Lucknow, IndiaReader, Babu Banarsi Das College of Dental Sciences, Lucknow, IndiaProfessor and Head, Department of Oral Medicine, Diagnosis and Radiology, Babu Banarsi Das College of Dental Sciences, Lucknow, IndiaABSTRACT: Introduction: Oral submucous fibrosis (OSMF), a chronic debilitating condition of the mouth, has been treated both surgically and non-surgically, but non-surgical methods yield inconsistent results. The surgical methods essentially comprise of bilateral sectioning of fibrous bands with or without coronoidectomy followed by covering of the surgical defect with a graft or a wound dressing material such as collagen sheet. Materials and Methods: This study comprised 30 clinically diagnosed cases of OSMF. This study compared transposition of buccal pad fat graft with collagen sheet to cover the defect within the following parameters: pain, swelling, mouth opening, color of mucosa, palpability of fibrous bands, and suppleness of mucosa. Results: We found significant difference in the postoperative mouth opening, an insignificant difference for post surgical morbidity and higher grades of surgical convenience in using collagen sheet as a wound dressing material. Conclusion: Collagen membrane is a superior method compared to transposition of the buccal pad of fat as a graft to cover the surgical wound in the treatment of OSMF of grade III and above.http://www.sciencedirect.com/science/article/pii/S2212426812600049Buccal fat padcollagen sheetoral precanceroral submucous fibrosis
spellingShingle Harsha Pradhan
Hemant Gupta
VP Sinha
Sumit Gupta
MC Shashikanth
Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison
Journal of Oral Biology and Craniofacial Research
Buccal fat pad
collagen sheet
oral precancer
oral submucous fibrosis
title Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison
title_full Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison
title_fullStr Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison
title_full_unstemmed Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison
title_short Two wound-covering materials in the surgical treatment of oral submucous fibrosis: a clinical comparison
title_sort two wound covering materials in the surgical treatment of oral submucous fibrosis a clinical comparison
topic Buccal fat pad
collagen sheet
oral precancer
oral submucous fibrosis
url http://www.sciencedirect.com/science/article/pii/S2212426812600049
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AT hemantgupta twowoundcoveringmaterialsinthesurgicaltreatmentoforalsubmucousfibrosisaclinicalcomparison
AT vpsinha twowoundcoveringmaterialsinthesurgicaltreatmentoforalsubmucousfibrosisaclinicalcomparison
AT sumitgupta twowoundcoveringmaterialsinthesurgicaltreatmentoforalsubmucousfibrosisaclinicalcomparison
AT mcshashikanth twowoundcoveringmaterialsinthesurgicaltreatmentoforalsubmucousfibrosisaclinicalcomparison