Use of bichat's buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases

Marta Abad-Gallegos, Rui Figueiredo, Alfonso Rodríguez-Baeza, Cosme Gay-Escoda

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Abstract

Objectives: To determine the efficacy of the pediculate flap with the buccal fat pad in the sealing of orosinusal communications, describe the surgical technique used, and report the main complications. Patients and method: A retrospective study was made of 8 patients seen in the Service of Oral Surgery of the University of Barcelona Dental Clinic (Spain) for the treatment of orosinusal communications between the years 2007 and 2009. In all cases a pediculate flap with the buccal fat pad was used to solve the problem. Results: All of the orosinusal communications were successfully resolved with this technique. The immediate postoperative complications were pain (37.5%), inflammation (37.5%), edema (32.5%), trismus (37.5%), halitosis (14.3%), suppuration (12.5%) and rhinorrhea (12.5%). Conclusions: The use of Bichat's buccal fat pad is not regarded as the technique of choice for sealing small to medium sized orosinusal communications. However, in the case of large communications, it is a good option, and the results obtained are optimum. © Medicina Oral S. L.
Original languageEnglish
JournalMedicina Oral, Patologia Oral y Cirugia Bucal
Volume16
Issue number2
DOIs
Publication statusPublished - 1 Mar 2011

Keywords

  • Buccal fat pad
  • Orosinusal communications

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    Abad-Gallegos, M., Figueiredo, R., Rodríguez-Baeza, A., & Gay-Escoda, C. (2011). Use of bichat's buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases. Medicina Oral, Patologia Oral y Cirugia Bucal, 16(2). https://doi.org/10.4317/medoral.16.e215