USE OF BUCCAL ADVANCEMENT FLAP FOR REPAIR OF OROANTRAL FISTULA: A CASE SERIES STUDY

Authors

  • Malik Ali Hassan Sajid Department of Oral and Maxillofacial Surgery, FMH College of Medicine & Dentistry, Lahore
  • Salman Ashraf Departmentof Oral and Maxillofacial Surgery, Quid-e-Azam Medical College/Bahawal Victoria Hospital, Bahawal Pur
  • Uzair Bin Akhtar Department of Oral and Maxillofacial Surgery, Sharif Medical & Dental College, Lahore
  • Usman Ul Haq Departmentof Oral and Maxillofacial Surgery, HITEC-IMS Dental College, Taxila Cantt
  • Saif Ullah Departmentof Oral and Maxillofacial Surgery, Bacha Khan Medical College, Mardan.
  • Khushal Bimb Departmentof Oral and Maxillofacial Surgery, Nepal Medical College-College of Dental Sciences& Hospital Gokarneshwor Municipality Attarkhel Kathmandu. ABSTRACT

DOI:

https://doi.org/10.33279/jkcd.v10i01.304

Keywords:

Oroantral Communication (OAC), Oroantral fistula (OAF), Buccal advancement flap (BAF).

Abstract

Objective: To evaluate the success rate of Buccal advancement Flap (BAF) in closure of Oroantral communication (OAC) and Fistula.

Materials and Methods: In this case-series study, buccal advancement flap (BAF) was used in 45 consecutive patients at Oral and Maxillofacial Surgery Department of Fatima Memorial Hospital Lahore for period of one year (May 2018-May2019). Male to female ratio was 2:1 and mean age=26 years. Right maxillary OAF of first and second molars presented more than left side (n=35, 77%). All defects were not more than 5mm. After application of flap, patients were evaluated for sign and symptoms of infection, wound dehiscence, loss of flap whether partial or complete and recurrence of oroantral fistula (OAF). Data was analyzed using SPSS version 20, INC, Chicago USA with descriptive analysis to derive percentages and frequencies for all variables.

Results: Thirty nine patients (86%) had successful healing of flap. Partial loss occurred in one patient (2.25%). Wound dehiscence was seen in two patients (4.45%). Complete loss of flap was also noted in two patients (4.45%). Recurrent OAF has occurred in one patient (2.25%).

Conclusion: BAF is a flap of choice for immediate closure of OAC and OAF of ≤5mm in the region of maxillary first and second molar. The technique is simple and vascular supply ensures the proper healing of flap. More work needs to be done to evaluate the causes for the partial or complete loss of the flap.

 

Downloads

Published

2020-03-31

How to Cite

Malik Ali Hassan Sajid, Salman Ashraf, Uzair Bin Akhtar, Usman Ul Haq, Saif Ullah, & Khushal Bimb. (2020). USE OF BUCCAL ADVANCEMENT FLAP FOR REPAIR OF OROANTRAL FISTULA: A CASE SERIES STUDY. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 10(01), 117–120. https://doi.org/10.33279/jkcd.v10i01.304

Issue

Vol. 10 No. 01 (2020): Journal of Khyber College of Dentistry

Section

Original Article

License

Copyright (c) 2020 Malik Ali Hassan Sajid, Salman Ashraf, Uzair Bin Akhtar, Usman Ul Haq, Saif Ullah, Khushal Bimb

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

You are free to:

  1. Share — copy and redistribute the material in any medium or format
  2. Adapt — remix, transform, and build upon the material
  3. The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  1. Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  2. NonCommercial — You may not use the material for commercial purposes .
  3. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.