Buccal Fat Pad Reinforce Buccal Advancement Flap Vs Rotational Palatal Flap in Chronic Oroantral Fistula Treatment | ||
| Egyptian Dental Journal | ||
| Article 7, Volume 67, Issue 4 - Serial Number 2, October 2021, Pages 3013-3021 PDF (958.01 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/edj.2021.82426.1691 | ||
| Authors | ||
| Mohamed Mostafa Elshamaa1; Samir Ali Elborolsy* 1; Hamada Mahran2 | ||
| 1Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry. Beni-Suef University | ||
| 2Lecturer of Maxillofacial Surgery, General Surgery Department, Faculty of Medicine, Assiut University, Egypt | ||
| Abstract | ||
| Abstract Background: Oroantral fistula(OAF), the most common complication after extraction of posterior maxillary teeth leading to chronic maxillary sinusitis, patient discomfort and can cause difficulty in speech, mastication, and overall hygiene of the patient. Many treatment approaches have been developed to treat OAFs; Buccal Fat Pad (BFP) as a graft material, Buccal Advancement flap (BAF) and rotational palatal flap(RPF). Aim: To compare two treatment modalities for the management of Oroantral Fistula (OAF). We compared the clinical outcomes for both Buccal Fat Pad (BFP) reinforce Buccal Advancement flap(BAF) and rotational palatal flap (RPF) treatment approaches. Material and Methods: A total of 76 patients were included in this randomized controlled clinical study and were divided into two groups; Group A: treated with BFP reinforce BAF, and Group B: treated with RPF. Both procedures were performed under local anesthesia. All the patients were assessed clinically by Valsalva test at 1 week and 4 weeks post-surgicalwhere the surgical siteswere examined by direct visual examination for the amount of both epithelization and closure of the OAF. Results: Our results showed no statistical significant difference (P>0.05) in the clinical outcomes of for both tested OAF treatments Conclusion: Both treatment approaches are good and dependable inthe management of OAF. | ||
| Keywords | ||
| Key Words: Buccal advancement flap; Oroantral fistula; Palatal rotation flap; Buccal Fat Pad | ||
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