PEDICLED PALATAL ROTATIONAL FLAP FOR CLOSURE OF AN ORO-ANTRAL FISTULA: A CASE REPORT

  • Saurabh Kamat MDS, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Puducherry, India.
  • K. Sankar MDS, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Puducherry, India.
  • Rakshit Vijay Sinai Khandeparker Oral and Maxillofacial Surgeon, Consultant, Apollo Victor Hospital, Goa-India
  • N. J. Eswari MDS, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Puducherry, India.
  • Vikas Gahlawat MDS, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Puducherry, India.
  • Patel Sanikumar Kamleshbhai Oral and Maxillofacial Surgeon, Private Practitioner, Gujarat- India.
Keywords: Oro-antral communication, Oro-antral fistula, Palatal flap, Maxillary molars

Abstract

Oro-antral communication following the extraction of maxillary molars is a common complication encountered by dental surgeons in day-to-day clinical practice due to the close relationship of root apices of maxillary posteriors with the maxillary sinus floor. Although many techniques have been described for the closure of the oro-antral fistula, the palatal flap remains a preferred choice. A case of 7 days old oro-antral fistula following extraction of the maxillary left first molar was successfully treated by a palatal rotational pedicle flap. Easy mobilization of the palatal pedicle flap with excellent blood supply and minimal donor site morbidity ensure excellent results.

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References

1. Awang M.N. Closure of oro-antral fistula. Int J Oral Maxillo fac Surg 1988; 17(2):110-5.
2. Killey H.C. and Kay W. Observations based on the surgical closure of 362 oro-antral fistulas. Int. Surg. 1972; 57(7):545-9
3. Hanazawa, Baumann A., Ewers R. Application of the buccal fat pad in oral reconstruction. J Oral Maxillofac Surg. 2000; 58:389-92
4. Rehrmann A. A method of closure of oro-antral perforation. Dtsch Zahnarztl Z. 1936; 39:1136-9
5. Tejraj P.Kale, Sarvesh Urolagin, Vishal Khurana, S. M. Kotrashetti. Treatment of oroantral fistula using palatal flap- a case report and technical note. J Int. Oral Health 2010; 2(3):77-82
6. Von Wovern N. Closure of the oro-antral fistula with buccal flap: Rehrmann v/s Moczar. Int J Oral Surg. 1982; 11(3):156-65
7. Ashley, Salins P.C., Kishore S.K. Anteriorly based palatal flap for closure of large oro-antral fistula Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82:253-6
8. Yakir A., Gavriel G., Ram S., Shlomo C. Palatal rotation advancement flap for delayed repair of oro-antral fistula: a retrospective analysis of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96 (5): 527-34
How to Cite
1.
Kamat S, Sankar K, Khandeparker RVS, Eswari NJ, Gahlawat V, Kamleshbhai PS. PEDICLED PALATAL ROTATIONAL FLAP FOR CLOSURE OF AN ORO-ANTRAL FISTULA: A CASE REPORT. Med. res. chronicles [Internet]. 2015Jul.31 [cited 2024May5];2(4):521-4. Available from: https://medrech.com/index.php/medrech/article/view/116
Issue
Vol. 2 No. 4 (2015): Jul-Aug
Section
Case Report

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