Online Article: Triple-Layered Closure of an Oroantral Fistula: A Case Report

• Autores: Eric George
• Localización: The International Journal of Oral & Maxillofacial Implants, ISSN-e 0882-2786, Vol. 33, Nº. 2, 2018, págs. 33-36
• Idioma: inglés
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• Resumen

  • Oroantral fistulae (OAF) are surgical sequelae that require complete resection and often leave large defects for the surgeon to repair. Closing these lesions is often technique sensitive and requires a detailed protocol, which, if not adhered to, can lead to recurrence. This case report presents a combined approach to closing an OAF by first excising the fistula and then resecting to retrieve the buccal fat pad to form a pedicle graft over the wound site. Next, a platelet-rich fibrin membrane is sandwiched over the buccal fat pad and completely covered by a buccal advancement flap. This triple-layered technique is a novel method to close a chronic OAF.