What Is The Cost Of Oral Surgery To Repair An Oral Sinus Fistula

. 2019 Jun;20(2):107-112.

doi: 10.30476/DENTJODS.2019.44920.

Oro-Antral Fistula Repair With Different Surgical Methods: a Retrospective Assay of 147 Cases

Affiliations

PMID: 31214638
PMCID: PMC6538900
DOI: 10.30476/DENTJODS.2019.44920

Free PMC article

Oro-Antral Fistula Repair With Different Surgical Methods: a Retrospective Analysis of 147 Cases

Rasoul Gheisari et al. J Dent (Shiraz). 2019 Jun .

Free PMC commodity

Abstract

Argument of the trouble: An oro-antral fistula (OAF) creates a passage for oral microbes into maxillary sinus with numerous possible complications.

Purpose: This retrospective report evaluates the success of three unlike surgical techniques of OAF repair.

Materials and method: Records of patients that were treated for OAF repair were retrieved and reviewed. Data recorded were patients' historic period, gender, etiology, size, location, elapsing, and method of repair. According to the surgical technique used to repair the OAF, patients were divided into iii groups including buccal flap, palatal flap, and buccal fat pad. All of the patients were locally anesthetized with 2% lidocaine and 1/100000 or ane/80000 epinephrine. Then the edges of the fistula were excised and fistula wall was dissected in a stitched layer by three surgical methods. The three groups were compared concerning the success or failure of surgical technique based on complete closure of OAF after three months postoperatively.

Results: 147 patients (116 males and 31 females) with adequate records were included in the study. The surgical methods used in patients were, buccal flap in 59 (40.1%), buccal fatty pad in 42 (40.eight%), and palatal flap in 28 (nineteen%) individuals. Success rates of these techniques were significantly different. Buccal fat pad was the most successful flap (98.3%), followed by buccal flap (89.viii%), and palatal flap (85.seven%). The near common cause of OAF in this group of patients was dental extraction.

Determination: Buccal fatty pad flap seems to exist i of the best treatments for the closure of OAF lager than 5 mm.

Keywords: Maxillary Sinus; Oroantral Fistula; Surgical Flaps; Fat Pad.

Disharmonize of involvement statement

Conflict of Interest: None declared.

Figures

**Figure2**
a: Outline of buccal flap incision, b: Reflection of buccal flap, c: Closure of oroantral fistula with buccal flap

**Figure3**
a: Outline of palatal flap, b: Closure of oroantral fistula with palatal flap

**Figure4**
a: Outline of initial incision for exposure and traction of buccal fat pad, b: Exposure, traction, and securing buccal fat pad flap over the oroantral fistula, c: Flap repositioning and partial coverage of buccal fat pad flap

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References

1. Killey HC, Kay LW. An analysis of 250 cases of oro-antral fistula treated by the buccal flap operation. Oral Surg Oral Med Oral Pathol. 1967; 24: 726–739. - PubMed
1. Anavi Y, Gal G, Silfen R, Calderon Due south. Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospectiveevaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96: 527–534. - PubMed
1. Thoma K, Pajarola GF, Grätz KW, Schmidlin PR. Bioabsorbable root analogue for closure of oroantral communications after toothextraction: a prospective instance-cohort written report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101: 558–564. - PubMed
1. Yalçın S, Oncü B, Emes Y, Atalay B, Aktaş I. Surgical treatment of oroantral fistulas: a clinical study of 23 cases. J Oral Maxillofac Surg. 2022; 69: 333–339. - PubMed
1. Kirmeier R, Arnetzl C, Robl T, Payer M, Lorenzoni Yard, Jakse N. Reproducibility of volumetric measurements on maxillary sinuses. Int J Oral Maxillofac Surg. 2022; 40: 195–199. - PubMed