The double-barrier technique using platelet-rich fibrin for closure of oroantral fistulas
10.5125/jkaoms.2023.49.3.163
- Author:
Jae-Woong JUNG
1
;
Sung ok HONG
;
Eun-Jee LEE
;
Ra-Yeon KIM
;
Yu-Jin JEE
Author Information
1. Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Kyung Hee University College of Dentistry, Seoul, Korea
- Publication Type:TECHNICAL NOTE
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2023;49(3):163-168
- CountryRepublic of Korea
- Language:English
-
Abstract:
An oroantral fistula (OAF) or oroantral communication (OAC) is an opening between the oral cavity and the maxillary sinus. If left untreated, these openings may cause chronic maxillary sinusitis. Although small defects (diameter <5 mm) may close spontaneously, larger communications require surgical intervention. Various studies have been conducted on OAC closure using a platelet-rich fibrin (PRF) membrane; most of these prior studies have involved simple direct application of PRF clots. This study introduces a new “double-barrier technique” using PRF for closure of an OAF involving sinus mucosal lifting and closure. The PRF material is inserted into the prepared maxillary sinus space, and the buccal advancement flap covers the oral side. This technique was successfully used to treat two patients with chronic OAF in the posterior maxillary region after implant removal or tooth extraction. The use of a PRF membrane in a double-barrier technique may have advantages in soft-tissue healing and could enable easy closure of chronic OAF with minimal trauma.
