Versatility of the Buccal Fat Pad (BFP) Graft in the Surgical Management of Oral Submucous Fibrosis (OSMF)—A 6-Year Follow-up

The surgical procedures for the management of oral submucous fibrosis (OSMF) vary, which include the excision of fibrous bands with the use of grafts or flaps. Flaps that are being widely used include tongue flaps, buccal fat pad (BFP), greater palatine pedicle flaps, nasolabial flaps, anterolateral thigh flap, radial forearm flap, and temporalis fascia flap. This case with grade III OSMF is being planned for reconstruction with the BFP graft after surgical resection of fibrotic bands, temporalis muscle myotomy, and bilateral coronoidectomy. After regular follow-up for 6 years, the BFP flap healed nicely with complete epithelization of the flap. There were no complications. BPF is definitely a reliable resource for the reconstruction of buccal mucosal defects in the surgical management of OSMF.