Buccal Myomucosal Flap and Buccal Pad of Fat for the Closure of Oro-antral Fistula

Tanta University12 enrolled

Overview

Oroantral fistula (OAF) is a pathological communication between the oral cavity and the maxillary sinus. A variety of surgical techniques have been developed, with recurrence rates of up to 33%7, mainly due to wound contraction and postoperative infection. To increase the success rates of OAF closure procedures, the use of double-layered closure techniques has developed, but most of these techniques alter the original oral anatomy and may result in significant postoperative morbidity.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Oro-Antral Communication

Interventions

Double layer of buccal myomucosal Flap and buccal pad of fatPROCEDURE

The buccal myomucosal flap will be harvested from cheek below stenson papilla and will be sutured over buccal pad of fat which will be sutured at palatal mucosa after complete curettage of infected fistulous tract.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Large Oro-antral Fistula * Recent or previously failed closure of oro-antral Fistula Exclusion Criteria: * Immuno-supressed patients * fistulae smaller than 5 mm in size

Locations (1)

Faculty of Dentistry, Tanta University

Tanta, Egypt

Outcomes

Primary Outcomes

Healing

The size of fistula will be clinically measured by digital caliper in centimeter for preoperative and postoperative for uneventful wound healing and disappearance of fistula .

Time frame: 6 months

Secondary Outcomes

infection

fluid level will be measured in cubic centimeter in computed tomography

Time frame: 6 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.