Department of Oral and Maxillofacial Surgery, Southend University Hospital, Mid and South Essex NHS Trust, Westcliff-on-Sea, Southend-on-Sea, Essex, UK.
Department of Oral and Maxillofacial Surgery, Southend University Hospital, Mid and South Essex NHS Trust, Westcliff-on-Sea, Southend-on-Sea, Essex, UK.
Int J Oral Maxillofac Surg. 2021 Dec;50(12):1638-1642. doi: 10.1016/j.ijom.2021.02.030. Epub 2021 Mar 24.
Oro-antral communications/fistulae (OAC/OAF) can cause significant patient morbidity, with treatment for defects greater than 5mm in size requiring surgical reconstruction. This technical note evaluates the effectiveness, and proposes the use of, the temporal extension of the buccal fat pad (TEBFP) for the closure of large OAC. The TEBFP can be an effective means of large OAC closure due to its ease of harvesting, with minimal damage to surrounding structures or aesthetic changes. The use of the TEBFP provides stability, versatility, and tension-free closure, with minimal postoperative complications.
牙-上颌窦交通/瘘管(OAC/OAF)可导致患者出现严重的并发症,对于直径大于 5mm 的缺损,需要进行手术重建。本技术说明评估了颊脂垫延长术(TEBFP)用于封闭大 OAC 的有效性,并提出了该方法的应用。由于 TEBFP 易于获取,对周围结构的损伤最小,且不会引起美学改变,因此是封闭大 OAC 的有效方法。TEBFP 的使用提供了稳定性、多功能性和无张力的闭合,术后并发症少。