Comparison of Efficacy of Buccal Fat Pad and Collagen Membrane in Surgical Management of Oral Submucous Fibrosis

Randhawa, Rajbir K; Randhawa, G S; Tiwari, Saba; Gupta, KC; Maria, Anisha; Satpathy, Mrinal

doi:10.5005/jp-journals-10052-0110

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Clinically, collagen is well tolerated with no adverse effects. These findings was similar to the study by Randhawa et al 15 Most crucial method for controlling scarring have been controlling infection and minimizing growth of granulation tissue. Collagen membrane appeared to satisfy these goals.…”

Section: Discussionsupporting

confidence: 91%

Collagen membrane: A new concept in surgical management for mucosal defect in oral sub mucous fibrosis

Kumar¹,

Nayak²,

Kumar

et al. 2021

Asian J Med Sci

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Background: Oral submucous fibrosis (OSMF) is a doubtlessly malignant disorder of the oral cavity. The surgical control of this situation involves excision of the fibrotic bands and interpositional grafts to keep the elevated oral opening. Various strategies and graft had been utilized with differing achievement rates. Aims and Objective: Through this study, an attempt was made to evaluate the efficacy of collagen membrane as wound dressing material for mucosal defect in oral submucous fibrosis. Materials and Methods: The study include 30 patients in the age group of 15 to 60 years with stage III or IVa of oral sub mucous fibrosis all of which underwent operation under general anesthesia to enhance their mouthopening by fibrotomy of bands and placement of collagen membrane by same surgeon. After surgery all the patients were accessed under parameter like hemostatic effect, pain relief, granulation tissue formation, epithelization, contracture and reactivity. All patients were given similar prescriptions for pain killer, antibiotics and postoperative instructions. All patients were examined postoperatively. Results: In this study various parameter were accessing the efficacy of collagen membrane on wound defects were recorded. In this 1st parameter hemostatic 28 patients had a score of good (93.3%) with bleeding stopping within 5 minutes after application of membrane and only 2 patients had a score of fair (6.66%). In pain relief analgesics were stopped on the day of 3rd after procedure 16 patients had a good (53.3%) score, 12 patients had a fair (40%) score while only 2 patients gad a poor (6.66%) score. All the patients had sufficient granulation tissue formation of entire wound therefore all the patients had score of good (100%) at the end of two weeks. Epithelization was noted in 28 patients who had score of good (93.3%) after 1 month. Contracture of the wound site at the end of 3 months were noted and rated as good in 20 patients (66.6%) while fair (33.3%) in 10 patients. No reactivity of any form was found in any of the subjects (100%). Conclusion: In our study we noticed that collagen membrane was found to be very effective in all the subjects and it provided us satisfactory results as intraoral wound dressing material.

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Section: Discussionsupporting

confidence: 91%

Collagen membrane: A new concept in surgical management for mucosal defect in oral sub mucous fibrosis

Kumar¹,

Nayak²,

Kumar

et al. 2021

Asian J Med Sci

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“…The results were both clinically and statistically significant for all the three evaluated parameters. No adverse reactions were observed in both the study groups which is in accordance with the published literature [ 13 - 16 ].…”

Section: Discussionsupporting

confidence: 91%

Comparison of the Effectiveness of a Novel Matrix-Modified Bovine Collagen Membrane With a Conventional Bovine Collagen Membrane for Oral Mucosal Defects: A Single-Center Study

Selvarasu,

Murthykumar

et al. 2024

Cureus

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Background Surgical procedures such as excision of a growth or lesion lead to soft tissue or oral mucosal defects. These defects require a proper surgical dressing to promote better wound healing and to avoid infection and scarring. A collagen membrane is one of the most commonly used surgical dressings because of its ease of adaptability to defects and its inherent ability to promote epithelialization and inhibition of pain through the indirect mechanism of preventing infection of the surgical site. Collagen also serves as a reservoir of regenerative factors. The regenerative potential increases as porosity decreases. The novel bovine-derived collagen membrane used in this current study has an average porosity of 20 microns which increases the availability of regenerative factors. Objective The aim of this study was to compare the effectiveness between a novel matrix-modified bovine collagen membrane (SurgiColl) and a conventional bovine collagen membrane for promoting wound healing for oral mucosal or soft tissue defects. Materials and methods This clinical trial was conducted in the Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospital. The sample size of the study was 20, divided into two groups: novel bovine collagen (Surgicoll-Mesh) (Group 1) and conventional bovine collagen (Group 2) with 10 participants in each group. The randomization process was adopted. The parameters assessed were epithelialization, granulation, and wound contraction at the end of two weeks. All the parameters were assessed using a standardized visual assessment scale. Statistical analysis was done using IBM SPSS Statistics for Windows, Version 23.0 (Released 2015; IBM Corp., Armonk, New York, United States), and an independent sample t-test was done at 95% confidence interval. A p-value of less than 0.05 was considered statistically significant. Results The difference in epithelialization between the two groups was statistically significant with a p-value of 0.015 (<0.05). The difference in granulation tissue formation between the two groups was statistically significant with a p-value of 0.015 (<0.05). The difference in wound contraction at the end of two weeks between the two groups was also statistically significant with a p-value of 0.005 (<0.05). Group 1 showed superior results compared to Group 2 for all the outcomes assessed. Conclusion The novel bovine-derived collagen membrane (SurgiColl-Mesh) was superior in its properties of wound healing for oral mucosal or soft tissue defects than the conventional bovine collagen membrane.

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Comparison of Efficacy of Buccal Fat Pad and Collagen Membrane in Surgical Management of Oral Submucous Fibrosis

Cited by 2 publications

References 23 publications

Collagen membrane: A new concept in surgical management for mucosal defect in oral sub mucous fibrosis

Collagen membrane: A new concept in surgical management for mucosal defect in oral sub mucous fibrosis

Comparison of the Effectiveness of a Novel Matrix-Modified Bovine Collagen Membrane With a Conventional Bovine Collagen Membrane for Oral Mucosal Defects: A Single-Center Study

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