Oroantral fistulas closure using Bichat's fat pad

• Autor(a) principal: AMARAL,Marcelo Fernando do
• Data de Publicação: 2014
• Outros Autores: GUERRA,Luiz Antonio Portela, GERBI,Marleny Elizabeth Márquez de Martínez, MELO,Audemir Rocha, GONDIM,David Gomes de Alencar, MEDEIROS JUNIOR,Rui, MELO,Suzana Lubambo de, SANTOS NETO,Alexandrino Pereira dos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: RGO - Revista Gaúcha de Odontologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372014000400437
• topic: Oroantral fistula; Oral surgical procedures; Surgical flaps

The oroantral fistula is one of the complications most common after dental extractions in posterior maxillary, mainly in the region of second and third molar. The diagnosis is based on clinical signs and symptoms, which may be present in pain, fever, hyposmia and drainage of purulent discharge; additional examinations such as computed tomography and sinus nasal endoscopy improve diagnostic precision. It is therefore of paramount importance to correct early diagnosis and treatment avoiding in this way, the symptons of sinusitis, infections and dysphonia. Several surgical techniques have been proposed for the closure of the bucosinusal fistula; the use of Bichat´s fat pad has become a successful alternative among them. Many surgical treatments have been to propose for closure of bucosinusal fistula; Bichat fat pad has been a good alternative. The propose for this article is report two cases with closure of bucosinusal fistulas through Bichat's fat pad, as well as to discuss the surgical techniques, characteristics, indications and peculiarities.