Closure of oroantral fistula: a review of local flap techniques

Oroantral fistula (OAF), also termed oroantral communication, is an abnormal condition in which there is a communicating tract between the maxillary sinus and the oral cavity. The most common causes of this pathological communication are known to be dental implant surgery and extraction of posterior maxillary teeth. The purpose of this article is to describe OAF; introduce the approach algorithm for the treatment of OAF; and review the fundamental surgical techniques for fistula closure with their advantages and disadvantages. The author included a thorough review of the previous studies acquired from the PubMed database. Based on this review, this article presents cases of OAF patients treated with buccal flap, buccal fat pad (BFP), and palatal rotational flap techniques.

[1]  S. Schipani,et al.  Radiotherapy-induced xerostomia: a randomised, double-blind, controlled trial of Visco-ease™ oral spray compared with placebo in patients with cancer of the head and neck. , 2019, The British journal of oral & maxillofacial surgery.

[2]  R. Sader,et al.  Decision-making in closure of oroantral communication and fistula , 2019, International journal of implant dentistry.

[3]  R. Sader,et al.  Surgical options in oroantral fistula management: a narrative review , 2018, International journal of implant dentistry.

[4]  Y. Jee,et al.  Reconstruction of large oroantral defects using a pedicled buccal fat pad , 2018, Maxillofacial plastic and reconstructive surgery.

[5]  Yong-Dae Kwon,et al.  Novel approach to the maxillary sinusitis after sinus graft , 2017, Maxillofacial plastic and reconstructive surgery.

[6]  Howard C. Tenenbaum,et al.  Is keratinized mucosa indispensable to maintain peri-implant health? A systematic review of the literature. , 2014, Journal of biomedical materials research. Part B, Applied biomaterials.

[7]  Hom-lay Wang,et al.  The significance of keratinized mucosa on implant health: a systematic review. , 2013, Journal of periodontology.

[8]  Ç. Karaca,et al.  Treatment of oroantral fistulas using bony press-fit technique. , 2013, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  D. Yamashita,et al.  Complications in dentoalveolar surgery. , 2011, Oral and maxillofacial surgery clinics of North America.

[10]  B. Atalay,et al.  Surgical treatment of oroantral fistulas: a clinical study of 23 cases. , 2011, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[11]  James B. Mitchell,et al.  Clinical management of salivary gland hypofunction and xerostomia in head-and-neck cancer patients: successes and barriers. , 2010, International journal of radiation oncology, biology, physics.

[12]  R. Bos,et al.  Closure of oroantral communications: a review of the literature. , 2010, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[13]  L. Gallego,et al.  Oroantral communications. A retrospective analysis. , 2010, Medicina oral, patologia oral y cirugia bucal.

[14]  P. Delaere,et al.  The influence of xerostomia after radiotherapy on quality of life , 2008, Supportive Care in Cancer.

[15]  K. Arce.  Buccal fat pad in maxillary reconstruction. , 2007, Atlas of the oral and maxillofacial surgery clinics of North America.

[16]  Sandra Nuyts,et al.  Radiation‐induced xerostomia in patients with head and neck cancer , 2006, Cancer.

[17]  Y. Anavi,et al.  Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. , 2003, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[18]  B. Ward.  The palatal flap. , 2003, Oral and maxillofacial surgery clinics of North America.

[19]  R. Ewers,et al.  Application of the buccal fat pad in oral reconstruction. , 2000, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[20]  A. Angelopoulos,et al.  The use of the buccal fat pad for reconstruction of oral defects: review of the literature and report of 15 cases. , 2000, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[21]  I. El-Hakim,et al.  The use of the pedicled buccal fat pad (BFP) and palatal rotating flaps in closure of oroantral communication and palatal defects , 1999, The Journal of Laryngology & Otology.

[22]  R. Martín-Granizo,et al.  Use of buccal fat pad to repair intraoral defects: review of 30 cases. , 1997, The British journal of oral & maxillofacial surgery.

[23]  Z. Stajčić.  The buccal fat pad in the closure of oro-antral communications: a study of 56 cases. , 1992, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[24]  H. Tideman,et al.  Use of the buccal fat pad as a pedicled graft. , 1986, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[25]  N. Wowern.  Closure of oroantral fistula with buccal flap: Rehrmann versus Môczár. , 1982 .

[26]  P. Ehrl.  Oroantral communication. Epicritical study of 175 patients, with special concern to secondary operative closure. , 1980, International journal of oral surgery.

[27]  Killey Hc,et al.  Observations based on the surgical closure of 362 oro-antral fistulas. , 1972 .

[28]  J. Jamali.  Palatal flap. , 2014, Oral and maxillofacial surgery clinics of North America.

[29]  H. Dym,et al.  Oroantral communication. , 2012, Oral and maxillofacial surgery clinics of North America.

[30]  P. Egyedi,et al.  Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. , 1977, Journal of maxillofacial surgery.

[31]  H. Haanaes,et al.  Treatment of oroantral communication. , 1974, International journal of oral surgery.

[32]  H. C. Killey,et al.  Observations based on the surgical closure of 362 oro-antral fistulas. , 1972, International surgery.

[33]  C. Merlini,et al.  [Oroantral communication]. , 1965, Rassegna trimestrale di odontoiatria.