Tratamiento quirúrgico de las fístulas bucosinusales postextracción. Presentación de un caso y revisión de la literatura
- Sergio García Moreno
- Isabel Leco Berrocal
- Luis Rubio Alonso
- Cristina Barona Dorado
- José María Martínez González
ISSN: 1697-6398, 1697-641X
Year of publication: 2015
Volume: 12
Issue: 3
Pages: 27-32
Type: Article
More publications in: Científica dental: Revista científica de formación continuada
Abstract
Introduction: Oroantral communications are open connections between oral cavity and the maxillary sinus, caused mainly by tooth extractions. The majority of these communications heal spontaneously due to their small size, while others create fistulae, continuing this pathological situation until proper treatment is provided, being able to cause pathology both locally and generally. Case Report: A case report of a 49 years old male with no medical history of interest, referred to the Oral Surgery Service of the hospital Virgen de la Paloma with an oroantral fistula of 3 weeks long and history of acute sinusitis is presented. After assessing the different therapeutic options, Bichat´s buccal fat pad pedicle flap was chooses to close the communication covering it with a buccal advancement flap, as described in the double layered technique. Conclusions: There are many techniques described in the literature to correct this pathological entity, each with their owns advantages and disadvantages. Knowledge of the particular features of each technique will be necessary to establish the most adequate treatment.