A Modified Approach for the Closure of Oral Sinus Communications

University of Siena18 enrolled

Overview

The aim of this study is to describe a modified surgical approach for the closure of oral sinus communications, using a buccal trapezoidal flap combined with a connective pedicle flap rotated from the palate

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Surgery Site Fistula

Interventions

modified buccal flap and subepithelial connective palatal flapPROCEDURE

The connective flap was harvested from the deeper area of the palatal mucosa. Pedicle flap dimensions were reported using the periodontal probe. The flap was then rotated to cover the oro antral communication (OAC) area. The rotation could be in mesial or distal direction, related to OAC position and for the convenience of the donor site. The connective palatal flap was sutured to the buccal periostium using mattress sutures.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patient with diagnosis of Oro-antral communication * Patients with adequate radiographic status * Patients who read and signed the informed consent * Patients without periodontal disease * Patients≥18 Exclusion Criteria: * Pregnancy or breastfeeding patients * Patients compliance and patients with mental disorders * Patients with diabetes * Patients with osteonecrosis * Patients with head and neck cancer

Locations (1)

University of Siena- Department of medical biotechnologies

Siena, Italy

Outcomes

Primary Outcomes

Closure of the communication

Clinical observation

Time frame: Day 30

Secondary Outcomes

Pain and discomfort

These parameters are described using VAS technique

Time frame: Day 30

Data from ClinicalTrials.gov

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