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Case Reports
. 2019 Oct 3:34:69.
doi: 10.11604/pamj.2019.34.69.19959. eCollection 2019.

Management of oroantral communication using buccal advanced flap

Akram Belmehdi  1 , Karima El Harti  2
Affiliations
Case Reports

Management of oroantral communication using buccal advanced flap

Akram Belmehdi et al. Pan Afr Med J. .

Abstract

Oroantral communication (OAC) or fistula (OAF) is an open pathological communication between the oral cavity and maxillary sinus which mostly occurs as a result of extraction of upper molars and premolars, iatrogenic complications or from dental infections, osteomyelitis, radiation therapy or trauma. Several alternative techniques modalities have been described throughout the years for the management of OAC and OAF which show both advantages and limitations. The most employed surgical flaps are of three types: advanced buccal flap, palatal flap and buccal fat pad flap. The authors present two clinical cases: oroantral communication and oroantral fistula, both were treated by using buccal advancement flap.

Keywords: Oroantral fistula; buccal advancement flap; maxillary sinus; oroantral communication.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
A) intraoperative picture showing oroantral fistula; B) use of the gutta-percha cone to explore the fistula by X-ray
Figure 2
Figure 2
Panoramic x-ray showing an osseous defect in the left upper molar region. The Fistulography bellow confirmed the oroantral communication
Figure 3
Figure 3
A) intraoperative view of the surgical procedure of the vestibular advanced flap; B) the buccal flap was placed over the defect and sutured
Figure 4
Figure 4
Postoperative healing after 6 months
Figure 5
Figure 5
Orthopantomogram of the patient
Figure 6
Figure 6
A) preparation of the buccal advanced flap; B) suture of the flap
Figure 7
Figure 7
Follow-up after six months
See this image and copyright information in PMC

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