Abdominal dermal fat pad as interposition graft for closing fibrotomy defect in advanced oral submucous fibrosis (OSMF): a case series

Varsha Sunil Manekar; Priyanka Shetty; Ashlesha Ghormode; Aneizo Khruomo; Pooja Umathe; Mehak Kataria; Shrampurna Karemore

doi:10.1051/mbcb/2024044

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Volume 31 / No 1 (2025)

J Oral Med Oral Surg, 31 1 (2025) 4

Abstract

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Issue		J Oral Med Oral Surg Volume 31, Number 1, 2025


Article Number		4
Number of page(s)		4
DOI		https://doi.org/10.1051/mbcb/2024044
Published online		04 March 2025

J Oral Med Oral Surg 2025;31:4

Case Report

Abdominal dermal fat pad as interposition graft for closing fibrotomy defect in advanced oral submucous fibrosis (OSMF): a case series

Varsha Sunil Manekar¹, Priyanka Shetty¹^*, Ashlesha Ghormode², Aneizo Khruomo¹, Pooja Umathe¹, Mehak Kataria¹ and Shrampurna Karemore³

¹ Oral & Maxillofacial Surgery, Government Dental College & Hospital, Nagpur 4400003, Maharashtra, India
² Government Dental College & Hospital, Aurangabad, Maharashtra, India
³ Darekar Dental Clinic, Pune, India

^* Correspondence: shettypriyanka424@gmail.com

Received: 29 June 2024
Accepted: 27 November 2024

Abstract

Fibrotomy and interposition of the graft in surgical defects followed by intense physiotherapy is the accepted surgical management for OSMF. The use of Abdominal Dermal Fat Pad (ADFP) as an inter-positional graft has proven successful in advanced OSMF cases. Ease of harvest with abundant volume, minimal morbidity, and ease of contouring to fit any defect, healing without complication. Additional benefits were marked improvement in mouth opening, and excellent healing of intraoral defect by re-epithelisation, with minimal donor site morbidity even after one year of follow-up, proving more beneficial as compared to other grafts.

Key words: Oral submucous fibrosis / fibrotomy / abdominal dermal fat pad graft / oral screen

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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