Maxillofacial Plastic and Reconstructive Surgery

  • Volume 40
  • /
  • Pages.7.1-7.5
  • /
  • 2018
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

Reconstruction of large oroantral defects using a pedicled buccal fat pad

  • Yang, Sunin (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Kyung Hee University) ;
  • Jee, Yu-Jin (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Kyung Hee University) ;
  • Ryu, Dong-mok (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Kyung Hee University)
  • Received : 2018.01.30
  • Accepted : 2018.02.14
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Oroantral communicating defects, characterized by a connection between the maxillary sinus and the oral cavity, are often induced by tooth extraction, removal of cysts and benign tumors, and resection of malignant tumors. The surgical defect may develop into an oroantral fistula, with resultant patient discomfort and chronic maxillary sinusitis. Small defects may close spontaneously; however, large oroantral defects generally require reconstruction. These large defects can be reconstructed with skin grafts and vascularized free flaps with or without bone graft. However, such surgical techniques are complex and technically difficult. A buccal fat pad is an effective, reliable, and straightforward material for reconstruction. Case presentation: This report describes three cases of reconstruction of large oroantral defects, all of which were covered by a pedicled buccal fat pad. Follow-up photography and radiologic imaging showed successful closure of the oroantral defects. Furthermore, there were no operative site complications, and no patient reported postsurgical discomfort. Conclusion: In conclusion, the use of the pedicled buccal fat pad is a reliable, safe, and successful method for the reconstruction of large oroantral defects.

Keywords

References

  1. Visscher SH, Minnen B van, et al (2010) Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg 68:1384-1391 https://doi.org/10.1016/j.joms.2009.07.044
  2. Kim MK, Han W, Kim SG (2017) The use of the buiccal fat pad flap for oral reconstruction. Maxillaofacial plastic and reconstructive. Surgery 39:5
  3. Von Wower N (1973) Correlation between the development of an oroantral fistula and the size of the corresponding bony defect. J Oral Surg 31:98
  4. Von Wower N (1970) Frequency of oro-antral fistulae after perforation to the maxillary sinus. Scand J Dent Res 78:394
  5. Hanazawa Y, Itoh K, Mabashi T et al (1995) Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg 53:771-775 https://doi.org/10.1016/0278-2391(95)90329-1
  6. Youmei Z, Xiaoqiang Z, Shuai F et al (2017) Clinical application of the pedicled buccal fat pad flap in immediate reconstruction of oral tissue defects in oral surgery. J Cranifacial Surg 00:00
  7. Emad T (2016) Long-term effectiveness of the pedicled buccal fat pad in the closure of a large oroantral fistula. J Oral Maxillofac Surg 74:1718-1722 https://doi.org/10.1016/j.joms.2016.04.033
  8. Egyedi P (1977) Utilization of the buccal fat pad for closure of oroantral communication. J Maxillofac Surg 5:241 https://doi.org/10.1016/S0301-0503(77)80117-3
  9. Allais M, Maurette PE, Cortez AL et al (2008) The buccal fat pad graft in the closure of oroantral communications. Braz J Otorhiolaryngol 74:799 https://doi.org/10.1016/S1808-8694(15)31397-5
  10. Rapidis AD, Alexandridis CA et al (2000) The use of the buccal fat pad for reconstruction of oral defects: review of the literature and report of 15 cases. J Oral Maxillofac Surg 58:158-163 https://doi.org/10.1016/S0278-2391(00)90330-6
  11. Jain MK, Ramesh C, Sankar K et al (2012) Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases. Int J Oral Maxillofac Surg 41:1025 https://doi.org/10.1016/j.ijom.2012.02.014
  12. Melville JC, Tursun R, Shum JW et al (2016) A technique for the treatment of oral-antral fistulas resulting from medication-related osteonecrosis of the maxilla. Oral Surg Oral Med Oral Pathol Oral Radiol 122:287-291 https://doi.org/10.1016/j.oooo.2016.03.015
  13. Nezafati S, Vafaii A, Ghojazadeh M (2012) Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg 41:624-628 https://doi.org/10.1016/j.ijom.2011.11.011

Cited by

  1. Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report vol.10, pp.None, 2018, https://doi.org/10.2147/ccide.s179751
  2. Surgical options in oroantral fistula management: a narrative review vol.4, pp.None, 2018, https://doi.org/10.1186/s40729-018-0152-4
  3. A rare case of huge maxillary ameloblastoma in a 3.5 years old girl vol.72, pp.None, 2018, https://doi.org/10.1016/j.ijscr.2020.06.027
  4. Closure of oroantral fistula: a review of local flap techniques vol.46, pp.1, 2018, https://doi.org/10.5125/jkaoms.2020.46.1.58