Rao H T Arvind, Sathar Firdous Abdul, Harekal Ashwin K, Chandra Jagadish
Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India.
Ann Maxillofac Surg. 2025 Jan-Jun;15(1):115-117. doi: 10.4103/ams.ams_144_24. Epub 2025 Mar 18.
This case series evaluates the effectiveness of the buccal advancement flap and buccal pad of fat for treating oroantral fistula (OAF) in uncontrolled diabetic patients, focusing on healing, complications and success rates.
OAF is a condition marked by abnormal communication between the oral cavity and maxillary sinus, often leading to infections, purulent discharge, nasal regurgitation and discomfort. Diabetic patients face additional healing challenges.
OAF is commonly caused by posterior maxillary teeth extractions with symptoms exacerbated by chronic sinus infection, especially in uncontrolled diabetics.
Two surgical techniques were employed: the buccal advancement flap and buccal pad of fat. Both aim to enhance fistula closure and minimise complications in diabetic patients.
Both approaches achieved successful fistula closure with satisfactory healing despite the patients' impaired healing capacity.
TAKE-AWAY LESSONS: Buccal advancement flap and buccal pad of fat provide effective and reliable solutions for OAF management in uncontrolled diabetic patients.
本病例系列评估颊推进瓣和颊脂垫治疗未控制糖尿病患者口腔上颌窦瘘（OAF）的有效性，重点关注愈合情况、并发症和成功率。
OAF是一种以口腔与上颌窦之间异常相通为特征的疾病，常导致感染、脓性分泌物、鼻反流和不适。糖尿病患者面临额外的愈合挑战。
OAF通常由上颌后牙拔除引起，慢性鼻窦感染会加重症状，尤其是在未控制的糖尿病患者中。
采用了两种手术技术：颊推进瓣和颊脂垫。两者都旨在促进糖尿病患者瘘口闭合并减少并发症。
尽管患者愈合能力受损，但两种方法均成功实现了瘘口闭合，愈合情况令人满意。
颊推进瓣和颊脂垫为未控制糖尿病患者的OAF治疗提供了有效且可靠的解决方案。
