Reconstruction of large oroantral defects using a pedicled buccal fat pad
10.1186/s40902-018-0144-6
- Author:
Sunin YANG
1
;
Yu Jin JEE
;
Dong Mok RYU
Author Information
1. Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Kyung Hee University, #892 Dongnam-ro, Gangdong-gu, Seoul, 05278 Republic of Korea. omsjyj@khu.ac.kr.
- Publication Type:Case Report
- Keywords:
Oroantral fistula;
Buccal fat pad;
Reconstruction
- MeSH:
Adipose Tissue;
Follow-Up Studies;
Free Tissue Flaps;
Humans;
Maxillary Sinus;
Maxillary Sinusitis;
Methods;
Mouth;
Oroantral Fistula;
Photography;
Skin;
Tooth Extraction;
Transplants
- From:Maxillofacial Plastic and Reconstructive Surgery
2018;40(1):7-
- CountryRepublic of Korea
- Language:English
-
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.
