Surgery of Trismus in Oral Submucous Fibrosis : An Atlas

This book offers an essential guide to treating trismus due to oral submucous fibrosis (OSMF) – a specific condition involving the mouth that is common in geographical areas where chewing of betel nut and tobacco is prevalent, particularly in Central India. Based on the editors’ more than two decades of experience employing techniques such as platysma flap and mandibular mucoperiosteal flaps to treat trismus of OSMF, the book will help surgeons who encounter these disorders to create their own management protocols. The initial chapters detail how the authors themselves have dealt with this disorder; the following chapters consist of separate entries, each of which contains clinical photographs and a brief description. Readers can either read the atlas as a textbook, or as a reference work. The book will benefit practitioners of ENT, head and neck, maxillofacial, dental and plastic surgeries, as well as general surgeons and postgraduate students. Front Matter ....Pages i-ix Introduction: The Process of Trismus Due to Oral Submucous Fibrosis (Sudhanshu Kothe, Madan Kapre)....Pages 1-2 Clinical Presentation (Madan Kapre, Sudhanshu Kothe)....Pages 3-9 Anesthesia for Surgery of Trismus Due to OSMF (Vidula Kapre)....Pages 11-16 Surgical Release Procedures for Trismus (Madan Kapre, Sudhanshu Kothe, Neeti Kapre Gupta)....Pages 17-22 Coronoidectomy (Madan Kapre, Sudhanshu Kothe)....Pages 23-25 Philosophy of Reconstruction (Sudhanshu Kothe, Ananya Kothe)....Pages 27-28 The Fat Flap (Madan Kapre, Harsh Karan Gupta, Sudhanshu Kothe)....Pages 29-30 Nasolabial Flaps (Madan Kapre, Abhishek Vaidya, Sudhanshu Kothe)....Pages 31-32 The Tongue Flap (Sudhanshu Kothe)....Pages 33-34 The Mandibular Mucoperiosteal Flap (Madan Kapre, Sudhanshu Kothe)....Pages 35-37 The Palatal Flap (Sudhanshu Kothe)....Pages 39-43 The Platysma Myocutaneous Flap (Sudhanshu Kothe)....Pages 45-52 The Platysma Myofascial Flap (Sudhanshu Kothe)....Pages 53-54 Postoperative Care (Vidula Kapre, Gauri Vaidya)....Pages 55-59 Evolution of Surgery of Trismus of OSMF (Madan Kapre, Sudhanshu Kothe)....Pages 61-62 Preface 5 Contents 6 About the Editors 8 1: Introduction: The Process of Trismus Due to Oral Submucous Fibrosis 9 2: Clinical Presentation 11 Grades of Trismus 12 3: Anesthesia for Surgery of Trismus Due to OSMF 18 Assessment 19 Anesthesiologist 19 Resources 19 Awake Intubation 20 Counseling 20 Innovations 20 Awake Blind Nasal Intubation 21 4: Surgical Release Procedures for Trismus 24 5: Coronoidectomy 30 6: Philosophy of Reconstruction 33 Managing the Teeth 34 7: The Fat Flap 35 8: Nasolabial Flaps 37 9: The Tongue Flap 39 10: The Mandibular Mucoperiosteal Flap 41 11: The Palatal Flap 44 12: The Platysma Myocutaneous Flap 49 Technique 52 13: The Platysma Myofascial Flap 57 14: Postoperative Care 59 Pain Relief 60 Intraoral Technique 60 Extraoral Technique 61 Closed-Mouth Technique (Vazirani-Akinosi) 62 15: Evolution of Surgery of Trismus of OSMF 64