Oral submucous fibrosis - A new concept in surgical management

Various surgeries have been used to release the fibrotic bands in oral submucous fibrosis but all of them are associated with complications and morbidities. The aim of our study is to evaluate the effect of coronoidectomy with excision of fibrotic bands. A total of 3histological proven cases of advanced oral Submucous fibrosis having a mouth opening of less than 20 mm were surgically treated. The procedure involved (Schwartz, 1952) bilateral release of fibrotic bands (Joshi, 1953) bilateral coronoidectomy (Canniff et al., 1986) covering the buccal defects with collagen membrane if required. Regular follow up was done and results were assessed by comparing the preoperative & postoperative Mean intraoperative interincisal distance after band excision and coronoidectomy increased up to 38.2mm.The procedure of coronoidectomy after fibrotic bands release had excellent results and adequate mouth opening with no recurrence till the last follow up.