SURGICAL MANAGEMENT OF ORAL PVL WITH BUCCAL PAD FAT AND PRF: A CASE REPORT | ||||
Egyptian Journal of Oral and Maxillofacial Surgery | ||||
Articles in Press, Accepted Manuscript, Available Online from 31 January 2023 | ||||
Document Type: Case Report | ||||
DOI: 10.21608/omx.2022.153171.1169 | ||||
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Authors | ||||
Arpan Aash 1; Snehal Bansod2; Savita Ghom3 | ||||
1Department of oral medicine & Radiology, Post Graduate Student, Maitri College Of Dentistry & Research Centre, Anjora, Durg, CG, 491001 | ||||
2Department of Oral & Maxillofacial Surgery, Professor, Maitri College of Dentistry & Research Centre, Anjora, Durg. CG, 491001 | ||||
3Department of Oral Medicine & Radiology, Professor, Maitri College of Dentistry & Research Centre, Anjora, Durg, CG, 491001 | ||||
Abstract | ||||
Proliferative verrucous leukoplakia is a multifocal & progressive lesions of the oral mucosa, with unknown etiology & commonly resistant to all therapy attempts with frequent recurrence. It develops initially as a white plaque of hyperkeratosis that eventually becomes a multifocal disease with confluent, Exophytic & proliferative features.WHO 2005 described PVL as a rare but distinctive high risk clinical form of oral precursor lesions. Several studies have examined PVL characteristics and it’s propensity to develop into oral carcinoma. It is characterized by a high rate of oral squamous cell carcinoma & verrucous carcinoma transformation (higher than 70%). In our case report a diagnosed case of PVL was surgically excised with safe margin & reconstructed by buccal pad fat and PRF. Platelet-rich fibrins are a concentrated suspension of growth factors found in platelets, which act as bioactive surgical additives that are applied locally to induce healing.A normal PRF membrane has rapid degradability (1-2 weeks), but if fibres are cross-linked, it could provide resistance against enzymatic degradation and could be more stable during the healing time | ||||
Keywords | ||||
PVL; PRF; HPV | ||||
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