- Original article
- Open access
- Published:
Large oroantral fistula repair using combined buccal and palatal flaps: a case series
The Egyptian Journal of Otolaryngology volume 34, pages 48–54 (2018)
Abstract
Aim
The aim was to detect the efficacy of combined buccal advancement and palatal rotational flaps in closure of large oroantral fistulas (OAFs) after dental extraction.
Materials and methods
A 3-year prospective study was conducted between February 2014 and May 2017. A total of 11 patients with large OAF after dental extraction were included in the study. Seven patients developed OAF after dental extraction of the maxillary first molar teeth, whereas two patients developed an OAF after dental extraction of the second maxillary premolars. The last two patients developed an OAF after dental extraction of the second maxillary molars.
Results
Closure of the defect was achieved in 10 cases, whereas only one case had failure. In addition to postoperative pain, swelling, and reduction of the vestibular sulcus, one patient experienced postoperative nasal adhesions between the nasal septum and inferior turbinate.
Conclusion
A combined buccal and palatal flap is efficient in closure of large delayed OAF secondary to dental extraction. Further study is required to assess new bone formation after repair of large OAF using this technique.
References
Borgonovo AE, Berardinelli FV, Favale M, Maiorana C. Surgical options in oroantral fistula treatment. Open Dent J 2012; 6:94–98.
Solker K, Vuksan V, Lauc T. Treatment of oroantral fistula. Acta Stomatol Croat 2002; 36:135–140.
Guven O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg 1998; 26:267–271.
De Biasi M, Maglione M, Angerame D. The effectiveness of surgical management of oroantral communications: a systematic review of the literature. Eur J Oral Implantol 2014; 7:347–357.
Yalcin S, Oncü B, Emes Y, Atalay B, Aktaş I. Surgical treatment of oroantral fistulas: a clinical study of 23 cases. J Oral Maxillofac Surg 2011; 69: 333–339.
Punwutukorn C, Waikakul A, Pairuchvej V. Clinically significant oroantral communications – a study of incidence and site. Int J Oral Maxillofac Surg 1994; 23:19–21.
Del Rey-SantamarÃa M, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Incidence of oral sinus communications in 389 upper thirmolar extraction. Med Oral Patol Oral Cir Bucal 2006; 11:E334–E338.
Awang MN. Closure of oroantral fistula. Int J Oral Maxillofac Surg 1988; 17:110–115.
Hanazawa Y, Itoh K, Mabashi T, Sato K. Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg 1995; 53:771–776.
Liversedge RL, Wong K. Use of the buccal fat pad in maxillary and sinus grafting of the severely atrophic maxilla preparatory to implant reconstruction of the partially or completely edentulous patient: technical note. Int J Oral Maxillofac Implants 2002; 17:424–428.
Scattarella A, Ballini A, Grassi FR, Carbonara A, Ciccolella F, Dituri A, et al. Treatment of oroantral fistula with autologous bone graft and application of a non-reabsorbable membrane. Int J Med Sci 2010; 7:267–271.
Anavi Y, Gal G, Silfen R, Calderon S. Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96:527–534.
Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula:experience with 27 cases. Am J Otolaryngol 2003; 24:221–223.
Hernando J, Gallego L, Junguera L, Villarreal P. Oroantral communications. A retrospective analysis. Med Oral Patol Oral Cir Bucal 2010; 15:e499–e503.
Haanaes HR, Pederson KN. Treatment of oroantral communication. Int J Oral Surg 1974; 3:124–132.
Hajiioannou J, Koudounarakis E, Alexopoulos K, Kotsani A, Kyrmizakis DE. Maxillary sinusitis of dental origin due to oroantral fistula, treated by endoscopic sinus surgery and primary fistula closure. J Laryngol Otol 2010; 124:986–989.
Proctor B. Bone graft closure of large or persistent oromaxillary fistula. Laryngoscope 1969; 79:822–826.
Ahmed WM. Closure of oroantral fistula using titanium plate with transalveolar wiring. J Maxillofac Oral Surg 2015; 14:121–125.
Goldman EH, Stratigos GT, Arthur AL. Treatment of oroantral fistula by gold foil closure: report of case. J Oral Surg 1969; 27:875–877.
Zide MF, Karas ND. Hydroxylapatite block closure of oroantral fistulas: report of cases. J Oral Maxillofac Surg 1992; 50:71–75.
Isler SC, Demircan S, Cansiz E. Closure of oroantral fistula using auricular cartilage: a new method to repair an oroantral fistula. Br J Oral Maxillofac Surg 2011; 49:e86–e87.
Ogunsalu C. A new surgical management for oro-antral communication: the resorbable guided tissue regeneration membrane-bone substitute sandwich technique. West Indian Med J 2005; 54:261–263.
Skoglund LA, Pedersen SS, Holst E. Surgical management of 85 perforations to the maxillary sinus. Int J Oral Surg 1983; 12:1–5.
Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J 1991; 70:488–490.
Hassan O, Shoukry T, Raouf AA, Wahba H. Combined palatal and buccal flaps in oroantral fistula repair. Egypt J Ear Nose Throat Allied Sci 2012; 13:77–81.
Author information
Authors and Affiliations
Corresponding author
Additional information
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work noncommercially, as long as the author is credited and the new creations are licensed under the identical terms.
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Abdelhamid, A.N., Youssef, T. Large oroantral fistula repair using combined buccal and palatal flaps: a case series. Egypt J Otolaryngol 34, 48–54 (2018). https://doi.org/10.4103/ejo.ejo_59_17
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.4103/ejo.ejo_59_17