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Case Reports in Dentistry
Volume 2012 (2012), Article ID 628301, 5 pages
http://dx.doi.org/10.1155/2012/628301
Case Report

Excision of Oral Submucous Fibrosis and Reconstruction with Full Thickness Skin Graft: A Case Study and Review of the Literature

1Department of Oral and Maxillofacial Surgery, Boston Medical Center, Boston University, 100 East Newton Street, Boston, MA 02118, USA
2Department of Oral and Maxillofacial Surgery, Henry Goldman School of Dental Medicine, Boston University, 100 East Newton Street, Boston, MA 02118, USA

Received 29 October 2012; Accepted 25 November 2012

Academic Editors: A. Kasaj and A. Loyola

Copyright © 2012 Ahmad Alshadwi and Ishwar Bhatia. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Oral submucous fibrosis is a chronic debilitating disease characterized by gradually increasing fibrosis of the oral cavity and pharynx, mainly the buccal mucosa, resulting in trismus. The highest incidence of oral submucous fibrosis is seen in South India due to various deleterious habits. In spite of the numerous medical modalities employed in the management of oral submucous fibrosis, occasionally surgical intervention becomes inevitable. Various surgical approaches have been used to reconstruct the surgical defects following excision of fibrous bands. Full thickness skin grafts have been described in the literature with variable outcomes. In the present study a 38-year-old male presented with severe oral submucous fibrosis of the buccal mucosa, which was successfully treated and reconstructed using full thickness skin graft with stable functional result after one year of treatment. An integrated review of the literature regarding etiology, histopathology, diagnostic, and treatment modalities of the disease follows.