title: Closure of large oroantral fistulas using septal cartilage.
abstract: The aim of this work is to describe a relatively new technique for closure of large oroantral fistulas. Fistulas were treated surgically using autograft septal cartilage and a buccal pyramidal flap. There were 11 patients, 8 of whom had chronic oroantral fistulas. Four cases had extensive sinusitis and were managed by endoscopic sinus surgery. Complete closure of the fistula was obtained in 10 cases (90.9%), whereas 1 case (9.1%) failed. No other complications occurred. The septal cartilage and pyramidal buccal flap technique is a viable alternative for the closure of large oroantral fistulas.
authors.affiliation: Department of Otolaryngology, Faculty of Medicine, Alexandria University, Alexandria, Egypt. ssam@yahoo.com
authors.forename: Essam Aly
authors.initials: EA
authors.lastname: Saleh
authors.forename: Islam Ahmad
authors.initials: IA
authors.lastname: Issa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002610:Cheek / Q000601:surgery; D015331:Cohort Studies; D005260:Female; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D055171:Nasal Cartilages / Q000601:surgery / Q000637:transplantation*; D009957:Oroantral Fistula / Q000175:diagnosis / Q000601:surgery*; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013524:Surgical Flaps / Q000098:blood supply*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
keywords: oroantral fistula; septal cartilage