Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases

Evaluation of Versatility and Effectiveness of Pedicled Buccal Fat Pad Used in the Reconstruction of Intra Oral Defects

“…Healing of the graft usually occurred within 2-3 weeks, leaving a good mucosal surface [8,21]. Histological nature of the healing process of the buccal fat pad was first reported by Samman et al indicating partial fibrosis of the fatty tissue.…”

“…To consider this as a success, the criteria that was taken into account was the complete epithelialisation of the graft [6]. The rich vascularity may explain the high success rate with this flap [7,8]. The technique is simple.…”

“…Successful closure of oro-antral fistula with buccal fat pad is widely reported in the literature. The use of buccal fat pad as a pedicled graft for closure of oral defects have been reported with good results [6,8,17].…”

Oro-antral fistulae and fractured tuberosities

“…Buccal fat pad pedicle flaps may be used when larger antral communications exist and generally work best when a two layer technique of closure is used with the advanced buccal fat then being overlaid with a standard buccal advancement mucosal flap 7 (Fig. 7).…”

Double Layered Flap for Closure of Recurrent Oroantralfistulausing Buccal Fat Pad and Palatal Pedicled Flap – A Case Report.

“…Variety of surgical procedures have been described in literature, ranging from the use of local and distant flaps to bone grafts and various implant materials for closure of OAF. The choice from among these procedures is influenced by size and location of the defect, the amount and condition of the tissues available for repair 3 , presence of infection 4 , whether primary or recurrent and future prosthetic restorative options. Regardless of the surgical technique, successful closure of OAF must be preceded by complete elimination of sinus pathology, fistulous tract, infection & degenerated polypoid mucosa and diseased bone 3 .…”