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Case Reports
. 2015 Jan-Jun;5(1):89-92.
doi: 10.4103/2231-0746.161090.

Combined palatal flap and titanium mesh for oroantral fistula closure

Pedro Henrique de Souza Lopes  1 , Diogo de Oliveira Sampaio  1 , Bruno Luiz de Souza Menezes  1 , Daniel Ferreira do Nascimento  1 , Belmino Carlos Amaral Torres  1
Affiliations
Case Reports

Combined palatal flap and titanium mesh for oroantral fistula closure

Pedro Henrique de Souza Lopes et al. Ann Maxillofac Surg. 2015 Jan-Jun.

Abstract

The oroantral fistula (OAF) is an epithelialized communication between the oral cavity and the maxillary sinus. In most of the cases, this communication occurs after molars and premolars extractions, but other factors may be cause of the communication, such as trauma. This article demonstrates an alternative surgical technique illustrated with a case report in which we perform the surgical treatment of OAF with palatal flap rotation combined with the use of titanium mesh in a victim of gunshot projectile wound in oral cavity.

Keywords: Maxillary antrum; oroantral fistula; surgical flap; surgical mesh.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Radiographic aspect immediately after firearm accident
Figure 2
Figure 2
Oroantral fistula
Figure 3
Figure 3
Cone beam computed tomography – Note bone defect in left maxilla
Figure 4
Figure 4
Bone defect – Compare with clinical aspect
Figure 5
Figure 5
Titanium mesh
Figure 6
Figure 6
Healing status of oroantral fistula on 40th postclosure day
Figure 7
Figure 7
Complete closure of oroantral fistula and epithelization – after 18 months
See this image and copyright information in PMC

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