Treatment of oroantral fistula with autologous bone graft and application of a non-reabsorbable membrane.
OBJECTIVE
The aim of the current report is to illustrate an alternative technique for the treatment of oroantral fistula (OAF), using an autologous bone graft integrated by xenologous particulate bone graft.


BACKGROUND
Acute and chronic oroantral communications (OAC, OAF) can occur as a result of inadequate treatment. In fact surgical procedures into the maxillary posterior area can lead to inadvertent communication with the maxillary sinus. Spontaneous healing can occur in defects smaller than 3 mm while larger communications should be treated without delay, in order to avoid sinusitis. The most used techniques for the treatment of OAF involve buccal flap, palatal rotation - advancement flap, Bichat fat pad. All these surgical procedures are connected with a significant risk of morbidity of the donor site, infections, avascular flap necrosis, impossibility to repeat the surgical technique after clinical failure, and patient discomfort.


METHODS
We report a 65-years-old female patient who came to our attention for the presence of an OAF and was treated using an autologous bone graft integrated by xenologous particulate bone graft. An expanded polytetrafluoroethylene titanium-reinforced membrane (Gore-Tex) was used in order to obtain an optimal reconstruction of soft tissues and to assure the preservation of the bone graft from epithelial connection.


CONCLUSIONS
This surgical procedure showed a good stability of the bone grafts, with a complete resolution of the OAF, optimal management of complications, including patient discomfort, and good regeneration of soft tissues.


CONCLUSIONS
The principal advantage of the use of autologous bone graft with an expanded polytetrafluoroethylene titanium-reinforced membrane (Gore-Tex) to guide the bone regeneration is that it assures a predictable healing and allows a possible following implant-prosthetic rehabilitation.
Scattarella
Adele
A
Department of Dental Sciences and Surgery, University of Bari Aldo Moro, Italy.
Ballini
Andrea
A
Grassi
Felice Roberto
FR
Carbonara
Andrea
A
Ciccolella
Francesco
F
Dituri
Angela
A
Nardi
Gianna Maria
GM
Cantore
Stefania
S
Pettini
Francesco
F
D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D008443:Maxillary Sinus / Q000601:surgery; D008567:Membranes, Artificial; D009957:Oroantral Fistula / Q000601:surgery*; D011138:Polytetrafluoroethylene / Q000737:chemistry
D008567:Membranes, Artificial; D011138:Polytetrafluoroethylene