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Figure 5: (a) Collagen membrane secured on buccal mucosa in a case of oral submucous fibrosis following excision of buccal fibrous bands; (b) photograph
of the 7th postoperative day showing partial healing of buccal mucosa and partial sloughing of collagen

Figure 6: (a) Preoperative photograph showing verrucous carcinoma of left buccal mucosa; (b) photograph of the 7th postoperative day showing almost
complete take up of collagen graft by the defect made by wide excision of lesion
covered with the graft by sutures [Figure 4]. It is important to note the successful take-up of graft. If the surgical defects are multiple
that the gauze should be removed only before the last suture or bilateral, we advocate placement of a Ryle’s tube for 3-4 days
remains to be given to secure the graft in proper adaptation. so that immediate oral intake after the surgery can be avoided,
After the gauze is removed, a well-adapted collagen can be seen yet nutrition is maintained. Clinical appearance of collagen
which is not amenable to the problem of mobility and rolling of grafted in OSMF and oral squamous cell carcinoma can be seen
the material during suturing; making the placement of additional in Figures 5 and 6 respectively.
sutures (if required) very easy. A dressing may or may not be
placed over the graft, depending on the choice of surgeon. We CONCLUSION
prefer to snugly fit a thick, removable, moistened gauze dressing
over the graft at least for two days, to avoid graft contamination Oral and maxillofacial surgeons treat various pathologies in and
and to prevent the collection of fluid between graft and recipient around the oral cavity. The commonest protocol of treatment for
site that could predispose the site to infection, thus jeopardizing all pathologies is the surgical excision, rendering postoperative
104 Plast Aesthet Res || Vol 3 || Mar 23, 2016