Abstract
Introduction
An oroantral fistula is by definition ‘An abnormal communication between the oral cavity and the maxillary sinus.’
Aim of the study
The aim of this study is to describe the acute and chronic OAFs and to evaluate the efficiency of the modified palatal flaps with tissue bridge in the closure of both acute and chronic OAFs of small to medium size.
Methodology
The study sample was derived from a population of patients from January 2013 to 2018 with the complaint of pain and discharge through the socket.
Result
The results of this series support the view that the use of modified palatal flap with tissue bridge is a reliable flap for the repair of both acute and chronic oroantral fistulae.
Conclusion
The ease of mobilization, superior blood supply and minimal donor site morbidity make it an ideal flap and a reliable alternative when other techniques fail.
Similar content being viewed by others
References
Rothamel D, Wahl G, d’Hoedt B et al (2007) Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J Oral Maxillofac Surg 45:387–391
Ogle OE, Weinstock RJ, Friedman E (2012) Surgical anatomy of the nasal cavity and paranasal sinuses. Oral Maxillofac Surg Clin 24:155–166
Yalçin S, Öncü B, Emes Y et al (2011) Surgical treatment of oroantral fistulas: a clinical study of 23 cases. J Oral Maxillofac Surg 69:333–339
Weinstock RJ, Nikoyan L, Dym H (2014) Composite three-layer closure of oral antral communication with 10 months follow-up: a case study. J Oral Maxillofac Surg 72:266-e1
Lazow SK (1999) Surgical management of the oroantral fistula: flap procedures. Oper Tech Otolaryngol Neck Surg 10:148–152
Choukas NC (1974) Modified palatal flap technique for closure of oroantral fistulas. J Oral Surg (American Dent Assoc 1965) 32:112–113
Borgonovo AE, Berardinelli FV, Favale M, Maiorana C (2012) Surgical options in oroantral fistula treatment. Open Dent J 6:94
Kitagawa Y, Sano K, Nakamura M, Ogasawara T (2003) Use of third molar transplantation for closure of the oroantral communication after tooth extraction: a report of 2 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 95:409–415
Punwutikorn J, Waikakul A, Pairuchvej V (1994) Clinically significant oroantral communications: a study of incidence and site. Int J Oral Maxillofac Surg 23:19–21
Anavi Y, Gal G, Silfen R, Calderon S (2003) Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 96:527–534
Shah RK, Dhingra JK, Carter BL, Rebeiz EE (2003) Paranasal sinus development: a radiographic study. Laryngoscope 113:205–209
Hernando J, Gallego L, Junquera L, Villarreal P (2010) Oroantral communications. A retrospective analysis. Med Oral Patol Oral Cir Bucal 15:499–503
Acknowledgements
This study did not receive any kind of funding or grant, from either organizations or institutions. None of the authors received remuneration directly from the sponsors of the project as a consultant or any other business relationship.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Vyloppilli, S., Sayd, S., Thangavelu, A. et al. Modified Palatal Flap with a Tissue Bridge in the Closure of the Oroantral Fistulae: A Prospective Study. J. Maxillofac. Oral Surg. 18, 604–609 (2019). https://doi.org/10.1007/s12663-018-1173-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-018-1173-5