title: Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases.
abstract: This study evaluated the long term effectiveness of pedicled buccal fat pad (BFP) with or without buccal advancement flap in the closure of oroantral fistula (OAF). A prospective clinical study involving 15 patients with chronic OAF was carried out. All cases were managed with pedicled BFP as the primary or secondary procedure. Cases with doubtful outcome were closed in two layers using BFP along with buccal advancement flap. Cases were followed for 3 months (1, 4, 8 and 12 weeks) to evaluate any postoperative complications such as wound dehiscence, necrosis or infection. Females (66.7%) in their third to fourth decade were commonly affected in the right posterior region (75%). Dental extraction (73.3%) followed by maxillofacial pathology was the most common causes for developing OAF. Only 2 of 15 cases were closed in two layers. Complete epithelialisation of all the cases was observed with no postoperative complications. Pedicled BFP is an effective and reliable flap for the repair of OAF. Cases of larger oral defects with doubtful outcome can be closed in two layers using BFP along with buccal advancement flap.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sri Hasanamba Dental College and Hospital, Vidyanagar, Hassan 573201, Karnataka, India. Lovingjain15@yahoo.com
authors.forename: M K
authors.initials: MK
authors.lastname: Jain
authors.forename: C
authors.initials: C
authors.lastname: Ramesh
authors.forename: K
authors.initials: K
authors.lastname: Sankar
authors.forename: K T
authors.initials: KT
authors.lastname: Lokesh Babu
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007570:Jaw Cysts / Q000601:surgery; D008297:Male; D008439:Maxillary Diseases / Q000601:surgery; D008441:Maxillary Neoplasms / Q000601:surgery; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D009336:Necrosis; D009957:Oroantral Fistula / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D062326:Re-Epithelialization / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000637:transplantation*; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D020858:Tissue and Organ Harvesting / Q000379:methods; D014081:Tooth Extraction / Q000009:adverse effects; D016896:Treatment Outcome; D055815:Young Adult