Immediate versus delayed aggressive physical therapy following buccal fat pad interposition in oral submucous fibrosis-a prospective study in Central India.
OBJECTIVE
Oral submucous fibrosis is a disease of an Indian subcontinent with obscure aetiology and poorly treated with varying signs and symptoms. OSMF occurs at any age but is most commonly seen in teenagers and adults in the age ranging between 16 and 35 years. A number of surgical treatments have been used for the treatment of oral submucous fibrosis with unpredictable results.


METHODS
In this study, 220 patients were randomly divided into two groups with mouth opening less than 16 mm and evaluated with immediate and delayed aggressive physiotherapy with buccal fat pad interposition after fibrotomy. Group A (n = 110) patients underwent aggressive mouth opening exercise from the next postoperative day while in group B (n = 110), patients underwent physiotherapy 7th day postoperatively. Pain and discomfort, mucosalization, infection, flap dehiscence and necrosis were noted. Patients were followed for 1 year on a regular interval basis.


RESULTS
At the end of 1-year follow up, the post-operative mean mouth opening in group A was 38.63 mm and 34.19 mm in group B. In group A, the immediate physiotherapy results in mild to moderate pain and discomfort to the patients as compared to no apparent pain in the group B. The mean mucosalization time in group A and group B was 4.2 and 5.1 weeks, respectively. Postoperatively, all patients achieve satisfactory mouth opening.


CONCLUSIONS
Immediate aggressive physiotherapy yields a comparatively superior result than delayed physiotherapy with respect to mouth opening in 1 year of follow-up.
Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur, India. drcrbande@yahoo.co.in.
Chandrashekhar
C
Bande
Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur, India.
Pawan
P
Dawane
Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur, India.
M K
MK
Gupta
Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur, India.
Mayur
M
Gawande
Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur, India.
Vijay
V
Rode
D000273:Adipose Tissue / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D008297:Male; D009914:Oral Submucous Fibrosis / Q000601:surgery*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000503:physiopathology* / Q000534:rehabilitation*; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D013997:Time Factors; D055815:Young Adult
Buccal fat pad; Delayed physiotherapy; Immediate aggressive physiotherapy; Oral submucous fibrosis
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