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

被引：9
作者：
Park J. [1 ,3 ]
Chun B.-D. [1 ]
Kim U.-K. [1 ,3 ]
Choi N.-R. [1 ,3 ]
Choi H.-S. [1 ,3 ]
Hwang D.-S. [1 ,2 ,3 ]
机构：
[1] Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan
[2] Dental and Life Sciences Institute, Pusan National University, Yangsan
[3] Dental Research Institute, Pusan National Dental Hospital, Yangsan
来源：
Maxillofacial Plastic and Reconstructive Surgery | / 41卷 / 1期
关键词：
Buccal fat pad graft; Oroantral communication; Oroantral fistula;
D O I：
10.1186/s40902-019-0229-x
中图分类号：
学科分类号：
摘要：
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. © 2019, The Author(s).
引用
收藏
相关论文
共 13 条
[1]  
Daif E.T., Long-Term Effectiveness of the Pedicled buccal fat pad in the closure of a large oroantral fistula, J Oral Maxillofacial Surg., 74, 9, pp. 1718-1722, (2016)
[2]  
Hernando J., Gallego L., Junquera L., Villarreal P., Oroantral communications. A retrospective analysis, Medicina Oral Patologia Oral Y Cirugia Bucal., 15, 3, pp. E499-E503, (2010)
[3]  
Anavi Y., Gal G., Silfen R., Calderon S., Tikva P., Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases, Oral Surg Oral Med O., 96, 5, pp. 527-534, (2003)
[4]  
Sgaramella N., Tartaro G., D'Amato S., Santagata M., Colella G., Displacement of dental implants into the maxillary sinus: a retrospective study of twenty-one patients, Clin Implant Dent R., 18, 1, pp. 62-72, (2016)
[5]  
Nezafati S., Vafaii A., Ghojazadeh M., Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication, Int J Oral Maxillofac Surg, 41, 5, pp. 624-628, (2012)
[6]  
Egyedi P., Utilization of Buccal fat pad for closure of oro-antral and-or oro-nasal communications, J Maxillofac Surg., 5, 4, pp. 241-244, (1977)
[7]  
Amin M.A., Bailey B.M.W., Swinson B., Witherow H., Use of the buccal fat pad in the reconstruction and prosthetic rehabilitation of oncological maxillary defects, Br J Oral Maxillofac Surg, 43, 2, pp. 148-154, (2005)
[8]  
MartinGranizo R., Naval L., Costas A., Goizueta C., Rodriguez F., Monje F., Et al., Use of buccal fat pad to repair intraoral defects: Review of 30 cases, Br J Oral Maxillofac Surg, 35, 2, pp. 81-84, (1997)
[9]  
Hanazawa Y., Itoh K., Mabashi T., Sato K., Closure of oroantral communications using a pedicled buccal fat pad graft, J Oral Maxillofac Surg, 53, 7, pp. 771-775, (1995)
[10]  
Jain M.K., Ramesh C., Sankar K., Babu K.T.L., Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases, J Oral Maxillofac Surg, 41, 8, pp. 1025-1029, (2012)
12