Abstract

A numerous complication arises after surgery and / or radiotherapy / chemotherapy performed for the management of oral and maxillofacial malignant tumour which is apparently a world-wide health threat. Trismus / fibrotic scarring is among the most widespread complications after onco-surgery and / or radiotherapy & surgical management is reserved in cases of severely restricted mouth opening. excision of the fibrotic bands with Colorado micro dissection needle is advantageous in fibrotic scarring as it causes reduced tissue necrosis & intraoperative blood loss; it also provides acceptable cosmesis without compromising wound healing. In cases of anatomical limitations free buccal fat graft (FBFG) can successfully act as alternative pedicled buccal fat pad graft for closure of post‐excision defects.

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