Surgery of Trismus in Oral Submucous Fibrosis

MADAN KAPRE, FRCS, DLO, is a Consultant ENT and Head Neck Surgeon and former president of the Foundation of Head & Neck Oncology (FNHO), India. He is currently the Managing Director, Neeti Clinics and Nursing Home, Nagpur in Central India. He was trained in the UK and specializes in the surgery for trismus in OSMF. He is also an advisor to the Asia Pacific Thyroid Society, Okinawa, Japan.  (email: madankapre@gmail.com)SUDHANSHU KOTHE, MS, MCh, DNB, is a Consultant Plastic and Reconstructive Surgeon at various clinics including Neeti Clinics and Nursing Home, Nagpur in Central India. He has a keen interest in reconstructive head and neck cancer microsurgery. His concept of using platysma myocutaneous flap has revolutionized the surgery for trismus in OSMF. (email: sudhanshu.kothe@gmail.com)

• Introduction.- Clinical Presentation.- Anaesthesia for Surgery of Trismus.- Surgical Release Procedures.- Coronoidectomy.- Philosophy of Reconstruction.- The Fat Flap.- Nasolabial Flaps.- Tongue Flap.- Mandibular Mucoperiosteal Flap.- Palatal Flap.- Platysma Myocutaneous Flap.- Platysma Myofascial Flap.- Postoperative Care.- Evolution of Protocols of Surgery of Trismus of OSMF.