Oroantral communication closure using a pedicled buccal fat pad graft

Authors

  • Ruy de Oliveira Veras Filho
  • Fernando Giovanella
  • Rafael Machado Karsburg
  • Marcos Antonio Torriani Universidade Federal de Pelotas

Keywords:

Oral fistula, oroantral fistula

Abstract

Purpose: This paper reports the procedure used to close a late oroantral fistula using rotating flaps of the pedicled buccal fat pad. Case description: A 66-year-old, male patient with leukoderma, in good general health, was referred for closure of an extensive late oroantral communication. Upon clinical examination, an approximately 10-mm fistula was observed connecting the oral cavity to the maxillary sinus. An outpatient surgical procedure was performed with the use of local anesthetics to close the oroantral fistula with a rotating pedicled buccal fat pad flap. The healing of the wound and closure of the defect could be seen after a 30-day postoperative period, with complete epithelialization. Conclusion: Grafting of the pedicled buccal fat pad is thought to be an efficient, safe and easy alternative to a larger oroantral fistula closure. Pedicled buccal fat pad grafting corrected the defect without generating any sequelae and/or great postoperative discomfort to the patient.

Author Biographies

Ruy de Oliveira Veras Filho

Especialista em Cirurgia e Traumatologia Bucomaxilofacial pela UFPel e residente de Cirurgia e Traumatologia Bucomaxilofacial/ UNESP-Araraquara/SP.

Fernando Giovanella

Especialista em Cirurgia Bucomaxilofacial pela UFPel.

Rafael Machado Karsburg

Acadêmico do 10° semestre de Odontologia da UFPel. Integrante do Programa de Educação Tutorial da Faculdade de Odontologia da UFPel

Marcos Antonio Torriani, Universidade Federal de Pelotas

Professor Associado do Departamento de Cirurgia e Traumatologia Bucomaxilofacial. Especialista, mestre e doutor em Cirurgia e Traumatologia Bucomaxilofacial pela Pontifícia Universidade Católica de Porto Alegre/RS.

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Published

2009-12-16

Issue

Vol. 25 No. 1 (2010)

Section

Case Report

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