NASOLABIAL FLAP VS TEMPOROPARIETAL FLAP RECONSTRUCTION IN ORAL SUBMUCOUS FIBROSIS

*Mamit Kumar, MDS, Jyoti Memoalia, MD, Abhishek Kumar, MDS, Geetinderpreet Kaur, Sanjay Talnia, MDS and Amit Kumar, BDS

ABSTRACT

Aim: The present study was conducted to evaluate and compare the versatilities of two reconstructive modalities, i.e. NLF and TPF for the reconstruction of the defect in buccal mucosa. Material and method: The prospective study was conducted among 30 cases, which were divided into two groups i.e. Group I: Nasolabial flap and Group II: Temporoparietal flap. Surgical techniques were performed for group 1 and 2. Subjective facial pain, range of mandibular motion, venous congestion, arterial blockage, temperature, skin edema, wound dehiscence and hematoma were assessed and compared at pre-operative, 1st week, 1 month and 3 months among group 1 and group 2. The statistical significant difference among groups was determined by the Chi square and t test and the level of significance was set at p < 0.05. Results: Mean IIMO preoperative and postoperative after 1 week, actively in Group I was 11±4.05 mm and 26.67±3.08 mm while in Group II the values were 12±3.03 and 26.33±1.86. Mean IIMO after 1 and 3 month passive and active increased more in Group I in comparison to Group II. Conclusion: NLF should be done in young patients who consent and preferably old patients and TPF in patients who are concerned with esthetics and unilateral OSMF cases.

Keywords: OSMF, Nasolabial flap, Temporoparietal flap, Mouth opening.