Buccal fat pad flap in management of oroantral fistula: a retrospective study
Background: The oroantral fistula is a pathological communication between the maxillary sinus and oral cavity lined by epithelium. Aims and Objectives: To evaluate the use of pedicled buccal fat pad graft in the closure of oroantral fistula. Materials and Methods: A retrospective study was conducted on patients with oroantral fistulae treated by pedicled buccal fat pad graft from 2011 to 2014. Data collected includes patient age and gender, etiology of fistula, location of fistula, interval from appearance of fistula to repair, and immediate and late complications and Follow-up evaluations. Results: All 16 cases of the oroantral fistulae were successfully treated with this technique. Though partial necrosis of the flap was observed in two patients, this did not affect the final healing. Immediate postoperative complications were pain (43.75%), edema (31.25%) and trismus (50%). No late complications occurred, and all patients were free of pain or any limitations after the 3-month follow-up period. Conclusion: The use of pedicled buccal fat pad graft is an acceptable and reliable procedure in closing an oroantral fistulae.
Brook I. Sinusitis of odontogenic origin. Otolaryngology-Head and Neck Surgery. 2006;135(3):349-55.
Borgonovo AE, Berardinelli FV, Favale M, Maiorana C. Surgical options in oroantral fistula treatment. The open dentistry journal. 2012;6(1):94-8.
Killey HC, Kay LW. An analysis of 250 cases of oro-antral fistula treated by the buccal flap operation. Oral Surgery, Oral Medicine, Oral Pathology. 1967;24(6):726-39.
Punwutikorn J, Waikakul A, Pairuchvej V. Clinically significant oroantral communications—a study of incidence and site. International journal of oral and maxillofacial surgery. 1994;23(1):19-21.
Hanazawa Y, Itoh K, Mabashi T, Sato K. Closure of oroantral communications using a pedicled buccal fat pad graft. Journal of oral and maxillofacial surgery. 1995;53(7):771-5.
Güven O. A clinical study on oroantral fistulae. Journal of cranio-maxillofacial surgery. 1998;26(4):267-71.
Dym H, Wolf JC. Oroantral communication. Oral and maxillofacial surgery clinics of North America. 2012;24(2):239-47.
Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. Journal of oral and maxillofacial surgery. 2010;68(6):1384-91.
Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula: experience with 27 cases. American journal of otolaryngology. 2003;24(4):221-3.
Rehrmann A. A method of closure of oroantral perforation. Dtsch Zahnarztl Z. 1936;39:1136-9.
Khitab U, Khan A, Khan MT, Shah SMA. Treatment of Oroantral Fistula-A Study. Pakistan Oral & Dental Journal.2010;30(2):299-302.
Lee J-J, Kok S-H, Chang H-H, Yang P-J, Hahn L-J, Kuo Y-S. Repair of oroantral communications in the third molar region by random palatal flap. International journal of oral and maxillofacial surgery. 2002;31(6):677-80.
Liversedge RL, Wong K. Use of the buccal fat pad in maxillary and sinus grafting of the severely atrophic maxilla preparatory to implant reconstruction of the partially or completely edentulous patient: technical note. International Journal of Oral & Maxillofacial Implants. 2002;17(3):424-8.
Zhang H-M, Yan Y-P, Qi K-M, Wang J-Q, Liu Z-F. Anatomical structure of the buccal fat pad and its clinical adaptations. Plastic and reconstructive surgery. 2002;109(7):2509-20.
Egyedi P. Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. Journal of maxillofacial surgery. 1977;5:241-4.
Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled graft. Journal of Oral and Maxillofacial Surgery. 1986;44(6):435-40.
Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R. Closure of oroantral communications with Bichat’s buccal fat pad. Journal of Oral and Maxillofacial Surgery. 2009;67(7):1460-6.
Adeyemo W, Ogunlewe M, Ladeinde A, James O. Closure of oro-antral fistula with pedicled buccal fat pad. A case report and review of literature. African Journal of Oral Health.2004;1(1):42-6.
Dolanmaz D, Tuz H, Bayraktar S, Metin M, Erdem E, Baykul T. Use of pedicled buccal fat pad in the closure of oroantral communication: analysis of 75 cases. Quintessence international. 2004;35(3):241-6.
Kim Y-K, Hwang J-W, Yun P-Y. Closure of large perforation of sinus membrane using pedicled buccal fat pad graft: a case report. Int J Oral Maxillofac Implants. 2008;23(6):1139-42.
Haraji A, Zare R. The use of Buccal fat pad for Oro-antral communication closure. J Mashhad Dent Sch Mashhad Univ Med Sci. 2007;31:9-11.
de Moraes EJ. Closure of oroantral communication with buccal fat pad flap in zygomatic implant surgery: a case report. International Journal of Oral & Maxillofacial Implants. 2008;23(1):143-6.
Allais M, Maurette PE, Cortez ALV, Laureano Filho JR, Mazzonetto R. The buccal fat pad graft in the closure of oroantral communications. Revista Brasileira de Otorrinolaringologia. 2008;74(5):799.
Abad Gallegos M, Barbosa de Figueiredo RP, Rodríguez Baeza A, Gay Escoda C. Use of Bichat” s buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases. Medicina Oral, Patología Oral y Cirugia Bucal. 2011;16(2):214-8.
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