Sherin.A.Khalam
PMS College of Dental Science and Research
Title: Surgical management of oral submucous fibrosis with Fibrotomy, temporalis myotomy and bilateral coronoidectomy
Biography
Biography: Sherin.A.Khalam
Abstract
Purpose: The aim of our study was to evaluate the effect of coronoidectomy with excision of fibrotic bands as an operative technique in management of oral submucous fibrosis.
Materials and Methods: A patient with histologically proven lesions of category Group IV A ( severe trismus with an interincisal distance of less than 15 mm and extensive fibrosis of all the oral mucosa.) case of oral submucous fibrosis, having a mouth opening of 12mm was surgically treated. The procedure involved (1) bilateral release of fibrotic bands (2) bilateral coronoidectomy and (3) no reconstruction, covering the buccal defects with collagen membrane. Regular physiotherapy and follow up were done and results were assessed by comparing the preoperative and postoperative mean intraoperative inter incisal distance.
Results: The intraoperative inter incisal distance after band excision and coronoidectomy increased up to 38.0 mm. The mean mouth opening after 1 year follow up was found to be 39.6mm.
Conclusion: In management of oral submucous fibrosis ,the procedure of coronoidectomy after fibrotic band release had excellent results with adequate mouth opening and no recurrence was noticed until the last follow up.