The efficacy of nasolabial flap as a reconstruction modality in the surgical management of oral submucous fibrosis

IF 0.6 Q3 Medicine

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-10-15 DOI:10.18231/j.ijashnb.2022.022

Mugdha Milind Parkhi

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引用次数: 0

Abstract

The purpose of this study was to clinically assess the efficacy of nasolabial flap for reconstruction of oral cavity defects post fibrotomy in oral submucous fibrosis (OSMF) patients. The study was implemented on ten patients with OSMF with mouth openings of less than 10 mm interincisal distance. The extent of mouth opening (inter incisal distance) along with the viability and vascularity of the flap was evaluated clinically over a period 6 months. In our study, complications like flap necrosis, flap loss, infection and obstructive sialadenitis were not observed. However, intra-oral hair growth was seen in our 7 patients, extra-oral scar at the donor site was seen in all our patients and salivary fistula formation was reported in 1 of the patient which underwent fistula repair later. Mean mouth opening of 37 mm was achieved at 6 months post-operatively, with a mean increase of 31.5 mm. No relapse was encountered, even at last follow-up. On the basis of the results, we conclude that the inferiorly based nasolabial flap is an efficacious, viable and a reliable option for reconstruction of oral cavity defects in OSMF.

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鼻唇瓣重建在口腔黏膜下纤维化外科治疗中的效果

本研究的目的是临床评估鼻唇瓣在口腔黏膜下纤维化(OSMF)患者纤维切开术后重建口腔缺损的疗效。本研究对10例口腔开口小于10 mm的OSMF患者进行了研究。在6个月的时间里，临床评估了皮瓣的开口程度(切间距离)以及生存能力和血管状况。本研究未见皮瓣坏死、皮瓣丢失、感染、梗阻性涎腺炎等并发症。然而，在我们的7例患者中发现了口腔内毛发的生长，在我们所有的患者中发现了供体部位的口外疤痕，并在1例患者中报告了唾液瘘的形成，随后进行了瘘管修复。术后6个月平均开口37 mm，平均增加31.5 mm。即使在最后的随访中也没有复发。结论下基鼻唇瓣是一种有效、可行、可靠的修复口腔缺损的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.90

自引率

0.00%

发文量

226

审稿时长

3 months

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.