BUCCAL ADVANCEMENT FLAP VS PALATAL ROTATION FLAP IN THE MANAGEMENT OF OROANTRAL FISTULA
DOI:
https://doi.org/10.33279/jkcd.v2i2.492Keywords:
Oroantral Fistula, Buccal Advancement Flap, Palatal Rotation Flap.Abstract
Objective:The aim of the study was to compare the outcome of the buccal advancement flap and palatal rotation flap in the management of oroantral fistula.
Methodology:The study was carried out on 60 patients with oroantral fistula who reported to Department of Oral & Maxillofacial Surgery, Khyber College of Dentistry Peshawar during August 2004 to July 2007. They were divided into two groups. In group A, oroantral fistula was repaired with buccal advancement flap while in group B palatal rotation flap was performed. The diagnostic criteria’s used were history, clinical examination, periapical views, OPG and PNS views.
Results:Oro-antral fistula was predominantly common in males (61.7%). The mean age of the patient calculated was 34.03 ±10.56 years. Out of the 60 patients, 41.6% were in the third decade followed by 36.76% in fourth decade. Maxillary first molar was the most common site of oroantral fistula (60%) followed by second molar (30%). In 52% of cases, Oro-antral fistula was found on the left side while the right side was involved in 48% cases. Out of 60 patients, 95% cases were successful and 5% cases failed. In Group A, the failure rate was 7.14% while in group B, failure rate was 3.45%.
Conclusion: This study shows that both buccal advancement flap and palatal rotation flap are good surgical procedures with beneficial surgical outcome for Oro-antral fistula closure. The palatal rotation flap was more successful of the two flap procedures, showing half the failure rate of buccal advancement flap.
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Copyright (c) 2012 Zia-ur-Rahman Qureshi, Muslim Khan, Qiam ud Din
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