| ORIGINAL ARTICLE |
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| Year : 2020 | Volume
: 15
| Issue : 2 | Page : 247-250 |
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Efficacy of coronoidotomy as an adjunct to fibrotomy in advanced cases of oral submucous fibrosis: A prospective cross-sectional study
Sohel Shrivastav, Nitin D Bhola, Rajanikanth Kambala, Anendd Jadhav, Pawan Hingnikar, Tanuj Patil
Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India
Correspondence Address:
Dr. Pawan Hingnikar
Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jdmimsu.jdmimsu_125_20
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Aim: To evaluate the effectiveness of Coronoidotomy as an adjunctive procedure to Fibrotomy in terms of improvement in intraoperative mouth opening during surgical management of Oral Submucous Fibrosis. Subjects and Method: 30 patients clinically diagnosed with OSMF (Grade IVa) underwent surgical intervention comprising of Bilateral Fibrotomy and Coronoidotomy. The inter-incisal distances were measured following Bilateral fibrotomy, Unilateral Coronoidotomy and Bilateral Coronoidotomy and compared. We evaluated the percent improvement in the inter-incisal distance after Unilateral and Bilateral Coronoidotomy compared to fibrotomy as well as the associated complications of coronoidotomy. Results: We found a striking improvement of 76.68% after performing Bilateral Coronoidotomy in comparison to fibrotomy. Furthermore, there was a mean increase of 34.56 ± 5.96 mm when compared to baseline pre-operative mean value (5.46 ± 4.04 mm). All the comparisons were statistically significant (P = 0.0001). Conclusion: Coronoidotomy is an effective adjunctive procedure to fibrotomy in terms of improvement in the intraoperative mouth opening in advanced cases of OSMF.
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