Surgery Site Fistula
Conditions
Keywords
Extraction, Oro-antral communication, Oro-antral fistula
Brief summary
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
Interventions
PROCEDUREmodified buccal flap and subepithelial connective palatal flap
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.
Sponsors
University of Siena
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
case series of a new surgical design
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Closure of the communication | Day 30 | Clinical observation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain and discomfort | Day 30 | These parameters are described using VAS technique |
Countries
Italy
Outcome results
None listed