Closure of Oroantral Fistula With Buccal Fat Pad Flap and Endoscopic Drainage of the Maxillary Sinus

2018 ◽  
Vol 29 (8) ◽  
pp. 2153-2155 ◽  
Author(s):  
Mosaad Abdel-Aziz ◽  
Mohamed Fawaz ◽  
Mohamed Kamel ◽  
Ahmed Kamel ◽  
Talal Aljeraisi
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Drainage ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula

scholarly journals ENXERTO DO CORPO ADIPOSO BUCAL PARA FECHAMENTO DE FÍSTULA BUCO-SINUSAL: REVISÃO DE LITERATURA

2019 ◽  
Author(s):  
Farley Souza Cunha
Keyword(s):  
Oral Cavity ◽  
Maxillary Sinus ◽  
Surgical Techniques ◽  
Specific Treatment ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula ◽  
Oroantral Communication ◽  
Teeth Extraction

RESUMOA Comunicação Buco-Sinusal (CBS) é um incidente cirúrgico que pode ocorrer durante a exodontia de dentes maxilares posteriores devido à intimidade de suas raízes com o assoalho do seio maxilar. As CBSs com diâmetro de até 2mm tendem a curar-se sem tratamento específico. Entretanto, as maiores que 3mm se não tratadas adequadamente, podem evoluir para complicações tais como sinusite maxilar recorrente, alteração do timbre nasal além da passagem de líquidos da cavidade bucal para a nasal através do óstio dentre outras. Este trabalho tem por objetivo discutir as técnicas mais utilizadas para o fechamento de CBS comparando-as com a técnica que utiliza o corpo adiposo bucal (Bola de Bichat), avaliando suas vantagens e desvantagens. As bases de dados digitais acessadas foram PubMed, MEDLINE, LILACS, Scopus compreendendo artigos em inglês entre o período de 1988 a 2016. Concluímos que o uso desta técnica apresenta excelentes resultados com poucas complicações, restituindo ao paciente uma condição de normalidade.Palavras-Chave: Fístula Bucoantral, Fístula Bucosinusal, Corpo adiposo bucal, bola de Bichat, Comunicação Bucosinusal. ABSTRACTOroantral Communication (OC) is a surgical incident that can occur during posterior maxillary teeth extraction due to the anatomical intimacy of its roots with the lining of the maxillary sinus. OC up to 2mm in diameter can cure without specific treatment. However, as larger than 3mm if left untreated, they may progress to complications such as recurrent maximal sinusitis, alteration of the nasal timbre beyond the passage of the oral cavity to a nasal through the ostium, among others. Several surgical techniques have been developed for the treatment of OC. This paper aims to review the literature on how to evaluate the most commonly used techniques for closing the OC, comparing them with a technique that uses the buccal adipose body (Bichat Ball), discussing its advantages and advantages. The digital databases accessed were PubMed, MEDLINE, LILACS and Scopus comprising articles in English from 1988 to 2016. This study allows us to conclude that the use of this technique presents excellent results with few complications, restoring the patient to a normal condition.Key-Words: Oroantral fistula, Oroantral communication, buccal fat pad, bichat fat pad

scholarly journals Use of autogenous bone graft of the anterior wall of the maxillary sinus in the management of oroantral fistula

2020 ◽  
Vol 8 (9) ◽  
Author(s):  
José Cadmo Wanderley Peregrino de Araújo ◽  
José Murilo Bernardo Neto ◽  
Júlio Leite de Araújo Júnior ◽  
Eduardo Dias Ribeiro ◽  
Julierme Ferreira Rocha
Keyword(s):  
Bone Graft ◽  
Maxillary Sinus ◽  
Anterior Wall ◽  
Autogenous Bone Graft ◽  
Autogenous Bone ◽  
Fistula Closure ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula ◽  
Left Maxillary Sinus

Introduction: The oroantral fistula consists of a persistent communication between the maxillary sinus and the buccal cavity, being a complication resulting from traumas, pathologies or dental extractions. Objective: To present a clinical case of oroantral fistula closure using autogenous bone graft from the anterior sinus wall as a treatment option. Materials and Methods: Patient with a history of traumatic extraction of the upper left molars about 4 months ago. During the clinical examination, there was an orifice in the left maxillary alveolar crest, suggestive of oroantral fistula, responding positively to the Valsalva maneuver. Panoramic radiographic examination evidenced continuity between the oral cavity and the left maxillary sinus, which presented with opacification, suggestive of acute maxillary sinusitis on the left side. Sinusitis was treated within 15 days. After treatment, we evaluated the patient who was asymptomatic and, at that moment, the surgical procedure for the oroantral fistula closure was planned, removing a bone block from the anterior wall of the left maxillary sinus presenting the sinus membrane and grafting with fixation using System 1.5 mm with an "L" plate and four bolts. Conclusion: This surgical technique is useful for the closure of chronic oroantral fistulas in patients with oroantral fistulas.Descriptors: Oroantral Fistula; Bone Transplantation; Maxillary Sinus.ReferencesMartín-Granizo R, Naval L, Costas A, Goizueta C, Rodriguez F, Monje F, Muñoz M, Diaz F. Use of buccal fat pad to repair intraoral defects: review of 30 cases. Br J Oral Maxillofac Surg. 1997;35(2):81-4.Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula:experience with 27 cases. Am J Otolaryngol. 2003;24(4):221-23.Anavi Y, Gal G, Silfen R, Calderon S. Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(5):527-34.Haas R, Watzak G, Baron M. A preliminary study of monocortical bone grafts for oroantral fistula closure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(3):263-66Zide MF, Karas ND. Hydroxylapatite block closure of oroantral fistulas: report of cases. J Oral Maxillofac Surg. 1992;50(1):71-5.Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R. Closure of oroantral communications with Bichat's buccal fat pad. J Oral Maxillofac Surg. 2009;67(7):1460-6.Jain MK, Ramesh C, Sankar K, Lokesh Babu KT. Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases. Int J Oral Maxillofac Surg. 2012;41(8):1025-29.Amaratunga NA. Oro-antral fistulae--a study of clinical, radiological and treatment aspects. Br J Oral Maxillofac Surg. 1986;24(6):433-37.Proctor B. Bone graft closure of large or persistent oromaxillary fistula. Laryngoscope 1969;79(5):822-26.Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg. 2010;68(6):1384-91.Visscher SH, van Roon MR, Sluiter WJ, van Minnen B, Bos RR. Retrospective study on the treatment outcome of surgical closure of oroantral communications. J Oral Maxillofac Surg. 2011;69(12):2956-61.Hanazawa Y, Itoh K, Mabashi T, Sato K. Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg. 1995;53(7):771-75.

scholarly journals Versatility of the pedicled buccal fat pad flap for the management of oroantral fistula: a retrospective study of 25 cases

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Jinyoung Park ◽  
Byung-do Chun ◽  
Uk-Kyu Kim ◽  
Na-Rae Choi ◽  
Hong-Seok Choi ◽  
...  
Keyword(s):  
Bone Graft ◽  
Graft Failure ◽  
Fistula Closure ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Dental Surgery ◽  
Female Ratio ◽  
Maxillary Bone ◽  
Oroantral Fistula

Abstract Purpose Maxillary bone grafts and implantations have increased over recent years despite a lack of maxillary bone quality and quantity. The number of patients referred for oroantral fistula (OAF) due to implant or bone graft failure has increased, and in patients with an oroantral fistula, the pedicled buccal fat pad is viewed as a robust, reliable option. This study was conducted to document the usefulness of buccal fat pad grafts for oroantral fistula closure. Materials and methods We retrospectively studied 25 patients with OAF treated with a buccal fat pad graft from 2015 to 2018. Sex, age, OAF location, cause, duration, presence of systemic disease, smoking, previous dental surgery, and side effects were investigated. Results A total of 25 patients were studied. Mean patient age was 54.8 years, and the male to female ratio was 19:6. Causes of oroantral fistula were cyst enucleation, tumor resection, implant removal, bone graft failure, and extraction. Excellent results were obtained in 23 (92%) of the 25 patients. In the other two patients that both smoked, a small fistula was observed during follow-up. No recurrence of oroantral fistula was observed after 2 months to 1 year of follow-up. Conclusions The incidence of oroantral fistula is increasing due to implant and bone graft failures. Oroantral fistula closure using a pedicled buccal fat pad was found to have a high success rate.

scholarly journals The use of a pedicled buccal fat pad for reconstruction of posterior mandibular defects

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Hyen Woo Lee ◽  
Sung ok Hong ◽  
Heeyeon Bae ◽  
Youngjin Shin ◽  
Yu-jin Jee
Keyword(s):  
Reliable Method ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Case Presentation ◽  
Oroantral Fistula ◽  
Treated Area ◽  
Radiologic Imaging ◽  
Long Time

Abstract Background The pedicled buccal fat pad has been used for a long time to reconstruct oral defects due to its ease of flap formation and few complications. Many cases related to reconstruction of defects in the maxilla, such as closing the oroantral fistula, have been reported, but cases related to the reconstruction of defects in the mandible are limited. Under adequate anterior traction, pedicled buccal fat pad can be a reliable and effective method for reconstruction of surgical defects in the posterior mandible. Case presentation This study describes two cases of reconstruction of surgical oral defects in the posterior mandible, all of which were covered by a pedicled buccal fat pad. The size of the flap was sufficient to perfectly close the defect without any tension. Photographic and radiologic imaging showed successful closure of the defects and no problems were noted in the treated area. Conclusion In conclusion, the pedicled buccal fat pad graft is a convenient and reliable method for the reconstruction of surgical defects on the posterior mandible.

scholarly journals Tratamento de fístula bucosinusal após exodontia com corpo adiposo da bochecha e retalho vestibular em paciente diabético: relato de caso

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Rodrigo Capalbo-Silva ◽  
Hiskell Francine Fernandes e Oliveira ◽  
Henrique Hadad ◽  
Bruno Coelho Mendes ◽  
Breno dos Reis Fernandes ◽  
...  
Keyword(s):  
Advancement Flap ◽  
Rational Approach ◽  
Collagen Membrane ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Posterior Teeth ◽  
Oroantral Fistula ◽  
Surgical Options ◽  
Odontogenic Sinusitis ◽  
Oroantral Communication

A comunicação bucosinusal trata-se da comunicação não natural da cavidade bucal com o seio maxilar, estando muitas vezes relacionada a extração dos dentes superiores posteriores. A literatura apresenta diversas opções de tratamento para esses casos, entre eles o fechamento com o retalho pediculado com o corpo adiposo bucal. O objetivo deste trabalho foi relatar um caso de fístula bucosinusal em paciente diabético, discutindo alternativas cirúrgicas correlacionadas com problema sistêmico do paciente e características locais do defeito. Paciente do sexo masculino, 55 anos de idade, com histórico de dez dias de exodontia do elemento 27, com queixa de passagem de ar ao meio bucal através do sítio cirúrgico. Com base nos exames, o diagnóstico definitivo foi de comunicação bucosinusal, sendo estipulado o tratamento cirúrgico para o fechamento da comunicação através de duas camadas com o corpo adiposo da bochecha seguido do retalho vestibular. No acompanhamento de 8 meses e meio o paciente não apresenta queixas e pode-se observar o fechamento completo da comunicação bucosinusal. O retalho pediculado do corpo adiposo bucal seguido do retalho vestibular mostrou-se efetivo no tratamento da fístula bucosinusal em paciente diabético controlado.Descritores: Fístula Bucoantral; Cirurgia Bucal; Diabetes Mellitus.ReferênciasLozano-Carrascal N, Salomó-Coll O, Gehrke SA, Calvo-Guirado JL, Hernández-Alfaro F, Gargallo-Albiol J. Radiological evaluation of maxillary sinus anatomy: A cross-sectional study of 300 patients. Ann Anat. 2017;214:1-8.Jang JK, Kwak SW, Ha JH, Kim HC. Anatomical relationship of maxillary posterior teeth with the sinus floor and buccal cortex. J Oral Rehabil. 2017;44(8):617-25. Khandelwal P, Hajira N. Management of Oro-antral Communication and Fistula: Various Surgical Options. World J Plast Surg. 2017;6(1):3-8.Parvini P, Obreja K, Begic A, et al. Decision-making in closure of oroantral communication and fistula. Int J Implant Dent. 2019;5(1):13.Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J. 1991;70(8):488-90.Al-Juboori MJ, Al-Attas MA, Magno Filho LC. Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report. Clin Cosmet Investig Dent. 2018; 10:245-49.Kiran Kumar Krishanappa S, Eachempati P, Kumbargere Nagraj S, Shetty NY, Moe S, Aggarwal H et al.  Interventions for treating oro-antral communications and fistulae due to dental procedures. Cochrane Database Syst Rev. 2018;8(8):CD011784. Darr A, Jolly K, Martin T, Monaghan A, Grime P, Isles M et al. Three-layered technique to repair an oroantral fistula using a posterior-pedicled inferior turbinate, buccal fat pad, and buccal mucosal advancement flap. Br J Oral Maxillofac Surg. 2018;56(7):638-39.Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. Int J Implant Dent. 2018;4(1):40. Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J. 1991;70(8):488-90.Borgonovo AE, Berardinelli FV, Favale M, Maiorana C. Surgical options in oroantral fistula treatment. Open Dent J. 2012;6:94-8.Ribeiro FS, de Toledo CT, Aleixo MR, Durigan MC, Silva WC, Bueno SK et al. Treatment of Oroantral Communication Using the Lateral Palatal Sliding Flap Technique. Case Rep Med. 2015;2015:730623.Erdoğan O, Esen E, Ustün Y. Bony palatal necrosis in a diabetic patient secondary to palatal rotational flap. J Diabetes Complications. 2005;19(6):364-67.Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg. 1986;44(6):435-40.Yang S, Jee YJ, Ryu DM. Reconstruction of large oroantral defects using a pedicled buccal fat pad. Maxillofac Plast Reconstr Surg. 2018; 40(1):7.Raldi FV, Sardinha SCS, Albergaria-Barbosa JR. Fechamento de comunicação bucossinusal usando enxerto pediculado com corpo adiposo bucal. BCI. 2000;7(25):60-3.Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R. Closure of oroantral communications with Bichat's buccal fat pad. J Oral Maxillofac Surg. 2009;67(7):1460-66.Batra H, Jindal G, Kaur S. Evaluation of different treatment modalities for closure of oro-antral communications and formulation of a rational approach. J Maxillofac Oral Surg. 2010;9(1):13-8. Weinstock RJ, Nikoyan L, Dym H. Composite three-layer closure of oral antral communication with 10 months follow-up-a case study. J Oral Maxillofac Surg. 2014;72(2):266.e1-266.e2667.Candamourty R, Jain MK, Sankar K, Babu MR. Double-layered closure of oroantral fistula using buccal fat pad and buccal advancement flap. J Nat Sci Biol Med. 2012;3(2):203-5.

scholarly journals Combined local flap and antrostomy in recurrent oroantral fistula and chronic maxillary atelectasis: a case report

2021 ◽  
Vol 27 (3) ◽  
pp. 42
Author(s):  
Franklin Bouthenet ◽  
Samy Amroun ◽  
Narcisse Zwetyenga
Keyword(s):  
Endoscopic Surgery ◽  
Stage Ii ◽  
Local Flap ◽  
Stage Iii ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Medical Practitioners ◽  
Oroantral Fistula ◽  
Silent Sinus Syndrome

Introduction: Chronic maxillary atelectasis refers to a persistent volume decrease of the maxillary sinus by inward bowing of its walls. When associated with hypoglobus or enophthalmos, some authors use the term “silent sinus syndrome”. We aimed to report a case of accidental diagnosis of chronic maxillary atelectasis while investigating and treating a recurrent oroantral fistula. Observation: CT imaging showed a large bone defect and stage II chronic maxillary atelectasis. Closure of the oroantral fistula was performed with a combined surgical approach: functional endoscopic surgery and buccal fat pad flap. The follow up at 2 months showed no signs of recurrent oroantral fistula. Commentaries: Chronic maxillary atelectasis is separated into three stages, membranous deformity (stage I), bony deformity (stage II), and clinical deformity (stage III). The term silent sinus syndrome should be abandoned for stage III chronic maxillary atelectasis to allow for better collaboration between medical practitioners. Recurrent oroantral fistulas should be treated with a combined approach including endoscopic antrostomy and local flap. Conclusion: The association of functional endoscopic surgery and buccal fat pad flap were the key to success in this case allowing for oroantral fistula closure and treatment of chronic maxillary atelectasis.

scholarly journals Closure of oroantral fistula: Comparison between buccal fat pad and buccal advancement flap: A clinical study

2021 ◽  
Vol 12 (3) ◽  
pp. 404
Author(s):  
Madan Mishra ◽  
Bharat Shukla ◽  
Gaurav Singh ◽  
Gourab Das ◽  
Abhishek Singh
Keyword(s):  
Clinical Study ◽  
Advancement Flap ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula ◽  
Buccal Advancement Flap

Double-Layered Closuring to Repair an Oroantral Fistula Using Septal Cartilage and Buccal Fat Pad

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ceyhun Aksakal ◽  
Serdar Akti ◽  
Betül Subaşi Aksakal
Keyword(s):  
Septal Cartilage ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula

scholarly journals Surgical Options In Oroantral Fistula Treatment

2012 ◽  
Vol 6 (1) ◽  
pp. 94-98 ◽  
Author(s):  
Andrea Enrico Borgonovo ◽  
Frederick Valerio Berardinelli ◽  
Marco Favale ◽  
Carlo Maiorana
Keyword(s):  
Radiation Therapy ◽  
Careful Consideration ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula ◽  
Iatrogenic Complications ◽  
Surgical Options ◽  
Fistula Treatment ◽  
Buccal Flap ◽  
Dental Infections

Oral fistula (OAF) is a pathological communication between the oral cavity and maxillary sinus which has its origin either from iatrogenic complications or from dental infections, osteomyelitis, radiation therapy or trauma. OAF closures can be achieved using different flaps which show both advantages and limitations. Therefore they all need careful consideration in order to select the best approach depending on the situation. The most widely employed flaps are of three types: vestibular flap, palatal flap and buccal fat pad Flap(BFP). The authors present three cases of OAF with the different techniques. It is suggested that the buccal flap is best applied in the case of large fistulas located in the anterior region, the palatal flap is suitable to correct premolar defects and the BFP flap for wide posterior OAFs.

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