title: Use of Bichat's buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases.
abstract: 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.
authors: Oral Surgery and Implantology, Barcelona University Dental School, Barcelona, Spain.
authors: Marta
authors: M
authors: Abad-Gallegos
authors: Rui
authors: R
authors: Figueiredo
authors: Alfonso
authors: A
authors: Rodríguez-Baeza
authors: Cosme
authors: C
authors: Gay-Escoda
mesh_terms: 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