Abstract
Introduction
Oroantral communications (OAC) are probable surgical complications of dentoalveolar procedures. OACs 2 mm in diameter or smaller are likely to close spontaneously without the need for any surgical intervention. However, OACs 3 mm in diameter or larger, or OACs associated with maxillary or periodontal inflammation, may persist, and surgical closure is recommended. Various surgical techniques have been suggested for the closure of oroantral defects.
Case Details
We have found the technique of two layer closure with buccal fat pad (BFP) and buccal mucoperiosteum quite useful for closure of chronic Oroantral fistula (OAF) and this article reports a case of OAF in the left first molar region of a 50 year old male, which has been closed successfully with this technique.
Conclusion
Buccal fat pad is a pedicled locally available flap which has its own blood supply and hence can be used with great efficacy in closure of OAF. This paper aims to elaborate the surgical details of this technique and its usefulness in closure of chronic OAF.
Similar content being viewed by others
References
Awang MN (1988) Closure of oroantral fistula. Int J Oral Maxillofac Surg 17:110–115
Egyedi P (1977) Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. J Maxillofac Surg 5:241
Bichat FMX (1801) Anatomie Generale: Appliquee a la Physiologie et la Medecine. Paris. Cited in Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe A (1990) The anatomy and clinical applications of the buccal fat pad. Plast Reconstr Surg 85:29
Saha J, Pathak H, Poddar RN (2011) Use of buccal fat pad to repair intraoral defects. J Indian Dent Assoc 1(1):1–5
Samman N, Cheung LK, Tideman H (1993) The buccal fat pad in oral reconstruction. Int J Oral Maxillofac Surg 22:2–6
Fujimura N, Nagura H, Enomoto S (1990) Grafting of the buccal fat pad into palatal defects. J Craniomaxillofac Surg 18:219–222
Batra H, Jindal G, Kaur S (2010) Evaluation of different treatment modalities for closure of oro-antral communications and formulation of a rational approach. J Maxillofac Oral Surg 9(1):13–18
Abad-Gallegos M, Figueiredo R, Rodriguez-Baeza A, Gay-Escoda C (2011) Use of Bichat’s buccal fat pad for the sealing of orosinusal communicatins: a presentation of 8 cases. Med Oral Patol Oral Cir Bucal 6(2):e215–e219
Scott P, Fabbroni G, Mitchell DA (2004) The buccal fat pad in the closure of oro-antral communications: an illustrated guide. Dent Update 31:363–366
Nezafati S, Vafaii A, Ghojazedeh M (2012) Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg 41:624–628
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Manuel, S., Kumar, S. & Nair, P.R. The Versatility in the Use of Buccal Fat Pad in the Closure of Oro-antral Fistulas. J. Maxillofac. Oral Surg. 14, 374–377 (2015). https://doi.org/10.1007/s12663-014-0669-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-014-0669-x