Khadar Vali Shaik*, Khurram Latif Shah, Mohammad Raji Alruili, Ahmad Arif A Aljehani, Nawaf Awadh Albalawi and Rwabi Alrwaily
Department of Oral and Maxillofacial Surgery, MNR Dental College and Hospital, IndiaFulltext PDF
Aim: To evaluate the efficacy of double-layered closure using the Pedicled Buccal Fat Pad and Reherman flap in the closure of oro-antral defects. Background: Oro-Antral Communications (OACs), the most common complication after extraction of posterior maxillary teeth, treatment of cysts & tumors, trauma or infections, can cause difficulty in speech, mastication, and overall hygiene of the patient. Smaller OACs (2 mm or less) close spontaneously without any surgical intervention, while, larger OACs remain patent and get epithelialized to develop an oro-antral fistula leading to chronic maxillary sinusitis and patient discomfort. Multiple surgical methods have been developed to treat OACs; however, combination of Buccal Fat Pad (BFP) with Reherman flap is the most sought after method for closure of oroantral communications. Materials & Methods: A prospective clinical study including 35 patients diagnosed with chronic OAF >5 mm requiring surgical closure was conducted. All the patients were treated with BFP and Reherman Flap. Follow up was done up to 6 months to evaluate post-operative outcome such as infections, relapse/failure of closure of defect or any other complication resulting in failure of treatment. Results: Complete epithelialization (successful outcome) was observed with no post-operative complications in all cases. Conclusion: Pedicled Buccal Fat Pad (BFP) and Reherman flap is a straightforward, convenient, durable and reliable method for the treatment of oro antral defects.
Shaik KV, Shah KL, Alruili MR, Aljehani AAA, Albalawi NA, Alrwaily R.The Versatility of Double-Layered Closure Using the Pedicled Buccal Fat Pad and Reherman Buccal Advancement Flap in the Reconstruction of Oro-Antral Defects a Prospective Clinical Study. Clin Surg. 2019; 4: 2501.