Closure of oroantral communication using buccal fat pad graft - case report

• Main Authors: Keim, Frederico Santos, Martins Junior, José Carlos, Kreibich, Mariana Schmidt
• Format: Article
• Language: English
• Published: Thieme Revinter Publicações Ltda. 2008-09-01
• Series: International Archives of Otorhinolaryngology
• Subjects: Oroantral fistula; Orthodontic space closure; Oral fistula; Fistula
• Online Access: http://www.arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=554

Introduction: There are many causes of fistulas that involve the nasal and antral cavities or both. They may result from pathological entities or secondary to removal of tumors or maxillary cysts. However, the extraction of a maxillary molar or premolar is the most common cause of oroantral fistula. This is explained by the close relationship between the apex of these teeth and the thinness of the antral floor. When the primary fistula repair fails to heal spontaneously during the first three weeks after surgery, a secondary repair may be indicated. During treatment process of the fistulas, there are procedures to make a direct close or the use of a sliding mucosal flap, all techniques own an equal and high degree of failure. Objective: To show a case report of oroantral fistula and its closure. Case Report: A 6-month-Surgical treatment of oroantral fistula, after a tooth removal, using the buccal fat pad method as a pedicled graft associated with a sliding mucosal flap. Conclusion: The mentioned treatment is simple, complete and allows an extensive applicability in most of cases.