Ashraf, et al.: Oral approaches for benign lesions National Journal of Medical and Allied Sciences | Vol 5 | Issue 2 | 2016 Page 143 ORAL APPROACHES FOR BENIGN LESIONS- A NOVEL APPROACH Mohd. Ashraf 1 , Mohd. Atif Khan 2 , Ibrahim Al Jabr 3 1 Mohd. Ashraf, Associate Professor, Dept of ENT, Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh 2 Abhishek Gupta, Assistant Professor, Dept. of Surgery, Teerthanker Mahaveer Medical College, Moradabad,Uttar Pradesh 3 Ibrahim Al Jabr, Assistant Professor, Department of Surgery, College of Medicine, King Faisal University, KSA Corresponding address: Dr. Mohd. Ashraf, Associate Professor, Dept of ENT, Hind Institute of Medical Sciences, Safedabad, Barabanki, Email – drashrafmohd@gmail.com INTRODUCTION Aesthetics is the need of hour. People spend huge amount on their looks. In modern and advanced society facial looks counts a lot. Many jobs and avenues need people with pleasing look. So, the demand and expectations become very high from the doctors. A substantial number of patients reported dissatisfaction from outcome of head and neck surgeries. 1 A myriad of criteria can be the reason of this dissatisfaction. There are certain professions where facial look is of prime importance and if the pleasing facial appearance is lost, that may cost their livelihood. Cosmetic end result of head and neck surgeries is immensely valued by patients in recent world. Cosmesis is literally defined as preservation, restoration, or enhancement of physical appearance, but medically it is concern in therapeutics for the appearance of the patient; an operation that improves appearance. Millions of surgical and minimally invasive cosmetic procedures of the face are performed each year, but factors which affect the surgical procedures and thereby results are expertise of operating surgeon, size of the lesion, procedure employed, and complication rate. We can improve the outcome by analyzing individual cases and deciding the optimum surgical protocol best suited in that given clinical situation. This will help us to ABSTRACT Introduction -Cosmetically acceptable surgical results are the demand of this modern era. Aesthetic facial look has lots of impact on financial, social and personnel life. Material and Methods- A total of twenty cases were studied in the Department of ENT at Hind Institute of Medical Sciences (HIMS), Barabanki, Uttar Pradesh. FNAC, USG and CECT were done and only benign lesions were selected which could be approached intraorally. Results-There were 20 patients aged between fifteen years to sixty years. There were ten cases of submandibular swellings, four cases of sebaceous cyst, three cases of lipoma and two cases of parapharyngeal space swelling and one case of plunging ranula. The mean operation time of the IOA group was significantly longer than that of the TCA group, but decreased gradually with surgical experience. The mean hospital stay of the IOA group was significantly shorter than that of the TCA group. Conclusions-The innovative surgical approaches were studied and meticulous, cosmetically acceptable results which were highly appreciated by the patients and their attendants were achieved. The stay in the hospital and complication rates were also quite low in intraoral approach than conventional external approach. Hence, intraoral approaches should be used for benign lesions which are amenable to surgery. Keywords: Cosmesis, benign lesions, intraoral. National Journal of Medical and Allied Sciences [ISSN Online: 2319 – 6335, Print: 2393 – 9192|Original Article |Open Access] Website:-www.njmsonline.org