Use of Bichat's buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases.
OBJECTIVE
To determine the efficacy of the pediculate flap with the buccal fat pad in the sealing of orosinusal communications, describe the surgical technique used, and report the main complications.


METHODS
A retrospective study was made of 8 patients seen in the Service of Oral Surgery of the University of Barcelona Dental Clinic (Spain) for the treatment of orosinusal communications between the years 2007 and 2009. In all cases a pediculate flap with the buccal fat pad was used to solve the problem.


RESULTS
All of the orosinusal communications were successfully resolved with this technique. The immediate postoperative complications were pain (37.5%), inflammation (37.5%), edema (32.5%), trismus (37.5%), halitosis (14.3%), suppuration (12.5%) and rhinorrhea (12.5%).


CONCLUSIONS
The use of Bichat's buccal fat pad is not regarded as the technique of choice for sealing small to medium sized orosinusal communications. However, in the case of large communications, it is a good option, and the results obtained are optimum.
Abad-Gallegos
Marta
M
Oral Surgery and Implantology, Barcelona University Dental School, Barcelona, Spain.
Figueiredo
Rui
R
Rodríguez-Baeza
Alfonso
A
Gay-Escoda
Cosme
C
D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus; D008875:Middle Aged; D009055:Mouth; D016155:Oral Fistula / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D055815:Young Adult