Management of oroantral fistula with displacement of the root into sinus using buccal fat pad: a case report

Essaket, Soukaina; Zemmouri, Yousra; Chbicheb, Saliha

doi:10.11604/pamj.2022.41.85.31368

Cited by 3 publications

(6 citation statements)

References 13 publications

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“…It can be used according to the literature for smaller defects corresponding the premolar region [ 19 ]. Studies conclude that the buccal advancement flap has a higher success percentage than the palatal flap [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Considering all three flaps, the general conclusion of several studies is that the Bichat fat pad flap has the highest success rate [ 17 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…The Bichat fat pad flap requires a small incision without damaging the surrounding tissues and an experienced surgeon would consider this flap as a versatile solution for the closure of medium size defects approx. 4 cm diameter wounds without major complications and with a great success rate [ 10 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Selecting the Best Surgical Treatment Methods in Oro-Antral Communications

Bereczki-Temistocle

Gurzu

Jung

et al. 2022

IJERPH

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Introduction: an oro-antral communication is defined as a permanent pathological connection between the maxillary sinus and the septic oral cavity. Several flaps can be used for the closure (buccal flap, palatal flap, combination techniques) but relapses occur often in case of a large defects and underlying general conditions. Bichat fad pad flap is a multipotent pedicled fatty tissue that is easily accessible from the oral cavity that can be used for the closure of medium-sized defects, even in immunocompromised patients due to its stem cell capacity. Materials and methods: the medical information of the patients diagnosed with oro-antral communications who were admitted and treated in the Oral and Maxillo-Facial Clinic Targu Mures, between 2013 and 2020 were analyzed. A database containing general information, reported causes, associated diseases, surgical methods used during admission, and relapses, was created. The information was statistically processed. The written consent and ethical approval were obtained. Results: the study shows that from a total of 140 cases, 72 were treated using buccal advancement flap, 49 using Bichat fat pad flap, and 19 using palatal flaps. The dimensions of the communications ranged between 0.3 cm and 1.5 cm. Several statistically significant results could be found when comparing the surgical methods. Of the 72 patients treated with buccal advancement flaps, 25 presented relapses as opposed to the patients treated with Bichat fat pad flaps who showed no complications, p < 0.05. Analysing this aspect further, all large defects (10 cases) ranging from 0.6 cm to 1.5 cm treated with advancement buccal flaps (Rehrmann flaps) showed relapses (p < 0.05). Considering the general conditions, out of 7 patients who received radiotherapy 4 presented relapses, as opposed to the healthy patients, p < 0.05. Regarding the reintervention for the relapsed cases, the majority of the cases treated a second time with buccal advancement flap (5 out of 7 cases) failed as opposed to the Bichat fat pad flap with no further relapses (p < 0.05). Conclusions: the most frequently used surgical treatment is the buccal flap, which also has the highest relapse rate. Both primary treatment with Bichat fat-pad flap and re-treatment of relapses using this flap have had 100% success rates, even in patients with general associated conditions, in contrast with patients treated by using the buccal flap. The dimensions of the oro-antral communication and general conditions are crucial factors for the success of the surgical treatment.

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Section: Discussionmentioning

confidence: 99%

“…Considering all three flaps, the general conclusion of several studies is that the Bichat fat pad flap has the highest success rate [ 17 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Selecting the Best Surgical Treatment Methods in Oro-Antral Communications

Bereczki-Temistocle

Gurzu

Jung

et al. 2022

IJERPH

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“…Considering the undesirable consequences of MS infection due to further penetration of bacteria and fungi into the sinus, closure of the OAF is a significant issue. A study performed by Soukaina Essaket et al [ 30 ]. concluded that complete elimination of the fistulous tract, any pathology in MS, deteriorated polypoid mucosa, and any foreign body is mandatory for long term successful closure of the OAF and for decreasing the risk of failure [ 30 ].…”

Section: Dissussionmentioning

confidence: 99%

“…A study performed by Soukaina Essaket et al [ 30 ]. concluded that complete elimination of the fistulous tract, any pathology in MS, deteriorated polypoid mucosa, and any foreign body is mandatory for long term successful closure of the OAF and for decreasing the risk of failure [ 30 ].…”

Section: Dissussionmentioning

confidence: 99%

Closure of oroantral fistula using platelet rich fibrin with endoscopic middle meatal antrostomy

Elgabarty,

Elmahallawy,

Ibraheam

et al. 2024

BMC Oral Health

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Background Oroantral fistula (OAF) involves pathological, epithelialized, and unnatural communication between the maxillary sinus and oral cavity. Recently, functional endoscopic sinus surgery has provided minimally invasive treatment options with fewer postoperative complications. The aim of the study was to evaluate the one-stage endoscopic middle meatal antrostomy (EMMA) technique with the application of a platelet-rich fibrin membrane (PRF) for OAF closure and maxillary sinusitis relief. Patients and methods Patients who suffered from OAF with odontogenic sinusitis were included in this study. Complete excision of the epithelial tract and any necrotic tissue was performed with proper curettage. Then, EMMA was performed with simultaneous closure of the OAF by the application of PRF membranes that were fixed by sutures and covered with an acrylic splint. Patients were clinically evaluated for OAF closure, pain level, and symptom relief. Additionally, the size of the bone defect was measured with the aid of computed tomography (CT) preoperatively and after 24 weeks postoperatively. Results This study included nine eligible patients with a mean age of 38 years. The data were collected, tabulated, and statistically analyzed. Soft tissue healing and bone formation occurred in all patients who achieved maxillary sinusitis relief without any complications. Additionally, pain was significantly lower on the 7th postoperative day than on the 1st postoperative day, according to the statistical analysis of the results (p < .001). Conclusions One-stage EMMA with the application of PRF membranes and acrylic splint represents a reliable alternative technique for OAF closure and maxillary sinusitis relief that is associated with a lower incidence of complications and minimal postoperative pain. Trial registration The trial was registered on 28/02/2024, at clinicaltrials.gov (ID: NCT06281873).

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Komunikasi oro-antral paska pencabutan sisa akar gigi 16

Dipankara,

Lulu Afifah Himawan,

Poedjiastoeti

2023

JKGT

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The opening of the sinus cavity due to tooth extraction, infection, or some complications so that an abnormal pathway is formed is oroantral communication. If the abnormal pathway fails to close, it turns into an oro-antral fistula. In this case report, patients performed tooth 16 and 17 extractions, but oroantral communication only occurred in the socket after tooth extraction 16. The diagnosis of oroantral communication is established based on the patient's complaints when gargling after tooth extraction, patients complain of water coming out of the nasal cavity and smell of blood. Then it was confirmed by clinical examination by instructing the patient to close the nose and then blow air while examining the retraction socket area, the results of the examination showed air passing through the blood in the retraction socket. The management of this case is done by giving a gelatin sponge into the socket and suturing with the figure of eight techniques or with non-surgical treatment. The results of the treatment showed the closure of oroantral communication.

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Management of oroantral fistula with displacement of the root into sinus using buccal fat pad: a case report

Cited by 3 publications

References 13 publications

Selecting the Best Surgical Treatment Methods in Oro-Antral Communications

Selecting the Best Surgical Treatment Methods in Oro-Antral Communications

Closure of oroantral fistula using platelet rich fibrin with endoscopic middle meatal antrostomy

Komunikasi oro-antral paska pencabutan sisa akar gigi 16

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