The use of extended nasolabial flaps and coronoidotomy was evaluated in the management of 40 patients selected randomly with histological conformation of oral submucous fibrosis. All of them had initial interincisal opening of less than 22 mm. The patients were treated with bilateral release of fibrous bands, coronoidotomy, and grafting with extended nasolabial flap. Postoperative physiotherapy was given to all the patients, with 1 year follow up. Remarkable improvement in the interincisal opening from a mean of 12mm (range 4-22) to a mean of 38mm (range 24-42) was recorded. Apart from a disadvantage that it leaves extra oral scars, the procedure was effective and is credible in the management of patients with oral submucous fibrosis.
Impact Factor
2017: 6.614
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