Closure of oroantral communications with Bichat´s buccal fat pad. Level of patient satisfaction

Abstract

Purpose: To report the closure of oroantral communications with the pedicled buccal fat pad in a series of patients, and to determine the level of patient satisfaction after the surgery. Study Design: A prospective study of patients diagnosed of unilateral or bilateral oroantral communication (OAC) closed using the buccal fat pad between May 2012 and January 2013 was performed. Data analysis extended to: age, sex, and cause, location and size of oroantral communication. Complications and success related to buccal fat pad surgery were evaluated. Also, patient satisfaction was assessed after six months of surgery. Results: Nine patients (3 men and 6 women) with a mean age of 50.5 years and 11 OAC treated with buccal fat pads were included. The most common cause of oroantral communication was the extraction of molars. The average widest diameter of the oroantral communication was 7.1 mm. One week after the surgeries no complications were found. One month after surgery, one patient presented persistence of the oroantral communication; in this patient, the buccal fat pad technique was considered a failure, and a second intervention was performed using a buccal mucoperiosteal flap to achieve primary closure of soft tissues. After six months, patient showed closure of the communication and complete healing. All the other communications had been solved with Bichat´s ball technique, yielding a success rate of 90.9%. Mean patient overall satisfaction was 9.1 out of 10; patients were satisfied with phonetics (9.4), aesthetics (9) and chewing (9). Conclusions: The buccal fat pad technique was successful in closing 10 out of 11 oroantral communications and few complications were found. Patients were highly satisfied in overall with the treatment and with phonetics, aesthetics and chewing. Key words:Bichat’s fat pad, buccal fat pad, oroantral communication.

Intra-sinus complex odontoma management simultaneously to oroantral communication closure: Why remove it?

“…Considering all clinical conditions ivolved, this surgical strategy solved simultaneously a rare sinusal complex odontoma, an ectopic impacted tooth and a chronic oroantral communication, easily and uneventfully, proving to be a valid alternative for treatment (Ramanojam et al, 2013;Grupta & Das, 2015;Kwon et al, 2020;Alonso-González et al, 2015). Research, Society and Development, v. 10, n. 6, e57110615389, 2021 (CC BY 4.…”

Tratamento de Fístula Buco-sinusal: proposta de abordagem

“…Raldi reafirma que nos casos onde haja sinusite e infecção ativa, esta deve ser controlada antes do procedimento cirúrgico 19 . Este mesmo autor recomenda o uso 500mg de amoxicilina (podendo ser associada ao clavulonato de potássio para maximizar o seu efeito) de 8 em 8 horas durante uma semana e irrigações diárias do seio maxilar através da fístula com soro fisiológico 0,9% até o dia da cirurgia para diminuição importante da contagem bacteriana [18][19][20] .…”

Oroantral communication, its causes, complications, treatments and radiographic features: A pictorial review

“… 3 Techniques for surgical closure include but are not limited to gingival suturing, soft tissue grafts and flaps, metal plates, hemostatic gauze, and reimplantation of molars. 5 6 Some common soft tissue grafts include palatal rotational flaps, palatal transposition flaps, buccal advancement flaps, as well as a combination of buccal and palatal flaps. 6 Examples of surgical graft techniques used to treat OACs include xenografts (with flap closure), allogenous grafts, and autogenous grafts from areas such as the chin, retromolar area, and septal cartilage.…”