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 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

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.

scholarly journals Three-Layered Closure of Persistent Oroantral Fistula Using Chin Graft, Buccal Fat Pad, and Buccal Advancement Flap: A Case Report with Review of Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Shiv Prasad Sharma
Keyword(s):  
Case Report ◽  
Clinical Success ◽  
Advancement Flap ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Oroantral Fistula ◽  
Combination Technique ◽  
Simultaneous Reconstruction ◽  
Osseous Defect ◽  
Buccal Advancement Flap

Various techniques have been used for the repair of oroantral fistula (OAF) but majority of them have focused on the soft tissue closure alone, and most of the time, the osseous floor of the sinus was ignored. Existing literature supports that bone grafts supported by Buccal Fat Pad (BFP) heal well without undergoing significant resorption and necrosis. Through this case report, we wish to elaborate on the clinical success of using BFP and autogenous chin graft for simultaneous reconstruction of a large long-standing oroantral fistula with underlying osseous defect. The combination technique can prove beneficial for osseous regeneration of sinus floor and improve chances for future implant prosthetic rehabilitation.

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

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