Clinical Presentation
Trismus of OSMF origin has four grades, classified according to surgical planning. OSMF may involve all structures in the mouth and around. Anesthesia techniques are planned before surgery. It is important to identify symptoms that are NOT due to OSMF.
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Surgery of Trismus in Oral Submucous Fibrosis
Madan Kapre • Sudhanshu Kothe Editors
Surgery of Trismus in Oral Submucous Fibrosis An Atlas
Editors Madan Kapre Neeti Clinics Neeti Gaurav Complex Nagpur, Maharashtra India
Sudhanshu Kothe Department of Plastic and Reconstructive Surgery Jai Clinics and Neeti Clinics Nagpur, Maharashtra India
ISBN 978-981-10-4890-6 ISBN 978-981-10-4892-0 (eBook) https://doi.org/10.1007/978-981-10-4892-0 Library of Congress Control Number: 2017953443 © The Editor(s) 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper Springer Nature Singapore is part of Springer Science+Business Media (www.springer.com) Byword Books Private Limited, Delhi, India (www.bywordbooks.in)
Preface
Trismus due to oral submucous fibrosis is a specific condition involving the mouth. This is common in geographical areas where chewing of betel nut and tobacco is prevalent. We encounter this condition frequently in our practice in Central India. As the number of treated patients started to grow in the late 1990s and the early 2000s, we realized that our approach towards the management of this disorder was in the right direction. We successfully applied some new methods such as platysma flap and mandibular mucoperiosteal flaps to treat this trismus. As experience grew, we established these protocols in our management and consolidated the surgical treatment of trismus. Our failures have been our greatest teachers and the source of our inspiration. This atlas puts forth our methods and techniques in the management of trismus due to oral submucous fibrosis. It sums up our work of over more than two decades, which started with steroid injections and small release procedures, and went on to become comprehensive releases with regional myocutaneous flap reconstructions. This atlas describes our surgical techniques and is
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