In the surgical treatment procedure, Maxillofacial Surgeon Dr. S.M. Balaji placed transverse incisions on the cheek on both right & left side to release the fibrous bands and to immediately improve the mouth opening. An inferiorly based Nasolabial island flap based on the facial artery was raised and transposed intraorally through a small trans-buccal tunnel. This was sutured with the buccal mucosal defect. Extraorally, the defect was closed in layers. Immediately following surgery, a normal mouth opening of 32 mm was achieved.