LIII A Method of Closing Antro-Alveolar Fistulae

Ashley, Rea E.

doi:10.1177/000348943904800307

Cited by 23 publications

(5 citation statements)

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“…The first description of a technique for closing oroantral fistula using a full-thickness palatal flap based on greater palatine artery dates back to Ashley [15]. Advantages of the palatal flap include high vascularity, generous thickness, and quality of tissue.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, this flap is more resilient, less prone to infection, very resistant to lacerations, and does not lead to lowering of the vestibule. However, the most significant disadvantages are flap necrosis [15], exposed bony surface, pain, and development of surface irregularities as a result of secondary epithelialization post operatively [2]. In 1980, Ehrl employed this technique with wide fistulas of 1 cm in diameter [16].…”

Section: Methodsmentioning

confidence: 99%

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Surgical options in oroantral fistula management: a narrative review

et al. 2018

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An oroantral fistula (OAF) is a pathological abnormal communication between the oral cavity and the maxillary sinus which may arise as a result of failure of primary healing of an OAF, dental infections, osteomyelitis, radiation therapy, trauma, or iatrogenic complications. With the presence of a fistula, the maxillary sinus is permanently open. Microbial flora passes from the oral cavity into the maxillary sinus, and the inflammation of the sinus occurs with all potential consequences. In literature, various techniques have been proposed for closure of OAFs. Due to the heterogeneity of the data and techniques found, we opted for a narrative review to highlight the variety of techniques discussed in the literature. Techniques of particular interest include the bone sandwich with resorbable guided tissue regeneration (GTR) membrane and platelet-rich fibrin (PRF) used alone as both a clot and a membrane. The great advantage of these techniques is that no donor site surgery is necessary, making the outcome valuable in terms of time savings, cost and, more importantly, less discomfort to the patient. Additionally, both bony and soft tissue closure is performed for OAF, in contrast to flaps, which are typically used for procedures in the sinus area. The reconstructed bony tissue regenerated from these techniques will also be appropriate for endosseous dental implantation.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Surgical options in oroantral fistula management: a narrative review

et al. 2018

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“…It can be used as a rotation flap or an interpolated flap with an intervening bridge of oral epithelium. Its initial description was credited to Ashley in 1939 (12) . Since then, numerous authors have demonstrated the efficacy of this flap and its modifications in closing oronasal fistulas, oropharyngeal fistulas, and various small to medium-sized ablative defects.…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction After Using a Reverse Flow Based Facial Artery Musculomucosal Flap (FAMM) versus a Palatal Pedicled Flap for Closure of Recurrent Small and Medium-Sized Oronasal Fistula: A Randomized Clinical Trial

Roomi,

Askar,

Khashaba

et al. 2024

Egyptian Dental Journal

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Objectives: To evaluate the clinical success and patient satisfaction of FAMM for closure of recurrent small to medium oronasal fistula in comparison to the palatal pedicle flap.Patients and Methods: 24 patients with recurrent small and medium-sized oronasal fistula failed after several trials to close, up to 10 mm were recruited. Patients were equally divided into two groups; G1: had surgical closure using FAMM flap and G2: had a Palatal Pedicle flap. Success is determined by the degree of patient satisfaction and healing, as well as the lack of complications.Results: Clinical results showed that in the 2 nd and 4 th week, the percentage of healed fistula was 100% in the FAMM group and 75% in the palatal flap group while in the 2 nd and 3 rd month, the percentage of patients with healed fistula was 100% in FAMM and 75% in the palatal flap groups. Regarding mouth opening results showed that at the 2 nd and 4 th week, the percentage of patients with normal oral competency was 91.7% in the FAMM group, compared to 75% in the palatal flap group while at the 2 nd and 3 rd month the percentage of patients with normal oral competency was 100% in the FAMM group compared to 75% in the palatal flap group with no statistically significant differences. Conclusion:The FAMM flap and palatal pedicle flap are effective choices for reconstructing small to medium-sized recurrent ONF due to their reliability and versatility. Both flaps yield satisfactory functional outcomes. Truly, FAMM flap is preferred over palatal flap.

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“…In addition, success of such procedure may be questionable in edentulous patients where the resorption of the alveolar ridge is more obvious. Some practitioners prefer buccal flap for closing small OAF and palatal flap for closing the large one [18,19]. Others [10] suggested using buccal flaps, palatal flaps, or mucoperiosteal flaps for closing OAF surgically.…”

Section: Discussionmentioning

confidence: 99%