Role of buccal fat flap in managing oral submucosal fibrosis

A 24-year-old male diagnosed with advanced stage of oral submucosal fibrosis [OSMF] who did not benefit from repeated injections of intra lesion injections of triamcinolone is reported. The patient complained of severe burning sensation in the mouth with progressive decreased mouth opening over last few months. Clinically, mouth opening was reduced to one finger width. The patient underwent excision of the fibrotic bands in the faucial pillars with coverage of the defect with buccal fat flap to prevent refibrosis. Postoperatively, patient's mouth opening improved to an acceptable level and was followed up for 9 months for recurrence of symptoms