Volume 12, Issue 1 (2023)                   WJPS 2023, 12(1): 90-94 | Back to browse issues page


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Temistocle D L B, Gurzu S, Vlad G M, Beresescu G, Ormenisan A. Successful Closure of an Oro-Antral Communication, after Three Previously Failed Attempts, Using Bichat Fat Pad Flap: A Case Report. WJPS 2023; 12 (1) :90-94
URL: http://wjps.ir/article-1-1044-en.html
1- Department of Oral and Maxillo-Facial Surgery, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania
2- Department of Morphopatology George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania
3- IOSUD ´´G. E. Palade´´ University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania , vlad.golu@umfst.ro
4- Department of Tooth and Arch Morphology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
Abstract:   (1349 Views)
An oro-antral communication represents an abnormal connection between the oral cavity and the maxillary sinus. It occurs most often after tooth extractions, improper implant placement or incorrect management of the sinus lifts. Surgical repair is challenging and most practitioners usually choose the buccal advancement flap, the palatal flap and in some cases the buccal fat pad flap to close the defect. We present a 43 year-old female of a large oro-antral communication and associated chronic sinusitis which was succesfully manged by surgery. Previous interventions including 2 buccal advancement flaps, and a double layer closure using Collagen membrane and buccal advancement flap were unsuccesful. The stepwise intervention consisted on the complete cleaning of the sinus, using the Caldwell Luc technique, followed by the closure of the oro-antral communication using Bichat fat pad flap. The particular aspect was the proper integration of the buccal fat pad flap, after 3 failed attempts, without dehiscence or any other complications. The buccal fat pad flap can be succesfully used for closure of lage oro-antral communications, even when previous methods have failed and local tissue is of poor quality.
 
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Type of Study: case report | Subject: Special
ePublished: 2023/05/6

References
1. Kim SM. Definition and management of odontogenic maxillary sinusitis. Maxillofac Plast Reconstr Surg. 2019 Mar 29;41(1):13. doi: 10.1186/s40902-019-0196-2. PMID: 30989083; PMCID: PMC6439010. [DOI:10.1186/s40902-019-0196-2]
2. Shukla B, Singh G, Mishra M, Das G, Singh A. Closure of oroantral fistula: Comparison between buccal fat pad and buccal advancement flap: A clinical study. Natl J Maxillofac Surg. 2021 Sep-Dec;12(3):404-409. doi: 10.4103/njms.njms_323_21. Epub 2021 Dec 13. PMID: 35153439; PMCID: PMC8820317. [DOI:10.4103/njms.njms_323_21]
3. Khandelwal P, Hajira N. Management of Oro-antral Communication and Fistula: Various Surgical Options. World J Plast Surg. 2017 Jan;6(1):3-8. PMID: 28289607; PMCID: PMC5339603.
4. Hassani A, Shahmirzadi S, Saadat S. Applications of the Buccal Fat Pad in Oral and Maxillofacial Surgery [Internet]. A Textbook of Advanced Oral and Maxillofacial Surgery Volume 3. InTech; 2016. Available from: http://dx.doi.org/10.5772/63133 [DOI:10.5772/63133]
5. Iwanaga J, Wilson C, Lachkar S, Tomaszewski KA, Walocha JA, Tubbs RS. Clinical anatomy of the maxillary sinus: application to sinus floor augmentation. Anat Cell Biol. 2019 Mar;52(1):17-24. doi: 10.5115/acb.2019.52.1.17. Epub 2019 Mar 29. PMID: 30984447; PMCID: PMC6449588. [DOI:10.5115/acb.2019.52.1.17]
6. Chang YS, Chen PL, Hung JH, Chen HY, Lai CC, Ou CY, Chang CM, Wang CK, Cheng HC, Tseng SH. Orbital complications of paranasal sinusitis in Taiwan, 1988 through 2015: Acute ophthalmological manifestations, diagnosis, and management. PLoS One. 2017 Oct 3;12(10):e0184477. doi: 10.1371/journal.pone.0184477. PMID: 28972988; PMCID: PMC5626037. [DOI:10.1371/journal.pone.0184477]
7. Bravo Cordero G, Minzer Ferrer S, Fernández L. Odontogenic sinusitis, oro-antral fistula and surgical repair by Bichat's fat pad: Literature review. Acta Otorrinolaringol Esp. 2016 Mar-Apr;67(2):107-13. English, Spanish. doi: 10.1016/j.otorri.2015.03.001. Epub 2015 Oct 17. PMID: 26481975 [DOI:10.1016/j.otorri.2015.03.001]
8. Belmehdi A, El Harti K. Management of oroantral communication using buccal advanced flap. Pan Afr Med J. 2019 Oct 3;34:69. doi: 10.11604/pamj.2019.34.69.19959. PMID: 31819785; PMCID: PMC6884724. [DOI:10.11604/pamj.2019.34.69.19959]
9. Kwon MS, Lee BS, Choi BJ, Lee JW, Ohe JY, Jung JH, Hwang BY, Kwon YD. Closure of oroantral fistula: a review of local flap techniques. J Korean Assoc Oral Maxillofac Surg. 2020 Feb;46(1):58-65. doi: 10.5125/jkaoms.2020.46.1.58. Epub 2020 Feb 26. PMID: 32158682; PMCID: PMC7049762. [DOI:10.5125/jkaoms.2020.46.1.58]
10. Patel R, Patel P, Kalariya V, Patel H, Chavda C. Closure of Oro-Antral Communication Using Buccal Advancement Flap. World J Plast Surg. 2019 May;8(2):262-264. doi: 10.29252/wjps.8.2.262. PMID: 31309067; PMCID: PMC6620811. [DOI:10.29252/wjps.8.2.262]
11. Sakakibara A, Furudoi S, Sakakibara S, Kaji M, Shigeta T, Matsui T, Minamikawa T, Komori T. Tunnel Technique for the Closure of an Oroantral Fistula with a Pedicled Palatal Mucoperiosteal Flap. J Maxillofac Oral Surg. 2015 Sep;14(3):868-74. doi: 10.1007/s12663-014-0703-z. Epub 2014 Oct 7. PMID: 26225093; PMCID: PMC4510092. [DOI:10.1007/s12663-014-0703-z]
12. Kiran Kumar Krishanappa S, Eachempati P, Kumbargere Nagraj S, Shetty NY, Moe S, Aggarwal H, Mathew RJ. Interventions for treating oro-antral communications and fistulae due to dental procedures. Cochrane Database Syst Rev. 2018 Aug 16;8(8):CD011784. doi: 10.1002/14651858.CD011784.pub3. PMID: 30113083; PMCID: PMC6513579. [DOI:10.1002/14651858.CD011784.pub3]
13. Gheisari R, Hosein Zadeh H, Tavanafar S. Oro-Antral Fistula Repair With Different Surgical Methods: a Retrospective Analysis of 147 Cases. J Dent (Shiraz). 2019 Jun;20(2):107-112. doi: 10.30476/DENTJODS.2019.44920. PMID: 31214638; PMCID: PMC6538900.
14. Azzouzi A, Hallab L, Chbicheb S. Diagnosis and Management of oro-antral fistula: Case series and review. Int J Surg Case Rep. 2022 Aug;97:107436. doi: 10.1016/j.ijscr.2022.107436. Epub 2022 Jul 21. PMID: 35917603; PMCID: PMC9403197. [DOI:10.1016/j.ijscr.2022.107436]
15. Bereczki-Temistocle DL, Gurzu S, Jung I, Cosarca A, Beresescu G, Golu V, Petrovan C, Ormenisan A. Selecting the Best Surgical Treatment Methods in Oro-Antral Communications. Int J Environ Res Public Health. 2022 Nov 5;19(21):14543. doi: 10.3390/ijerph192114543. PMID: 36361422; PMCID: PMC9658250.. [DOI:10.3390/ijerph192114543]
16. Baek JH, Kim BO, Lee WP. Implant Placement after Closure of Oroantral Communication by Sinus Bone Graft Using a Collagen Barrier Membrane in the Shape of a Pouch: A Case Report and Review of the Literature. Medicina (Kaunas). 2021 Jun 16;57(6):626. doi: 10.3390/medicina57060626. PMID: 34208644; PMCID: PMC8235364. [DOI:10.3390/medicina57060626]
17. Conti G, Bertossi D, Dai Prè E, Cavallini C, Scupoli MT, Ricciardi G, Parnigotto P, Saban Y, Sbarbati A, Nocini P. Regenerative potential of the Bichat fat pad determined by the quantification of multilineage differentiating stress enduring cells. Eur J Histochem. 2018 Oct 23;62(4):2900. doi: 10.4081/ejh.2018.2900. PMID: 30362673; PMCID: PMC6250101. [DOI:10.4081/ejh.2018.2900]

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