Comparision of Platysma Myocutaneous flap, Nasiolabial flap and Buccal fat pad in the treatment oforal submucous fibrosis: 30 patients case series

Abstract

‘Oral submucous fibrosis’ (OSMF) is a well-known entity described since the time of Sushruta as ‘Vidari’¹. OSMF is defined as an insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx. Although occasionally proceeded by and/or associated with vesicle formation, it is always associated with juxta-epithelial inflammatory reaction followed by fibroelastic change of lamina propria, with epithelial atrophy leading to stiffness of the oral mucosa and causing trismus and inability to eat. With further progression, it leads to difficulty in mastication, speech, and swallowing².

According to most research, the etiology of OSMF includes not only local irritating causes, but also systemic involvement such as vitamin B12 insufficiency, iron deficiency, zinc deficiency, and anaemiacontribute equally.Chilies, chewable tobacoo, and areca nut are all common local irritants.Copper concentration is high in the areca nut, which leads to increased collagen synthesis and decreased collagen breakdown. Fibrous bands occur as a result of enhanced collagen synthesis.^3,4 The continuous burning sensation in the buccal mucosa while eating spicy meals is the early clinical symptom of OSMF. Clinically OSMF is divided into the following stages: stomatitis, fibrosis and sequelae.⁵