Oro-Antral Communication
Conditions
Keywords
Oro-Antral Fistula, Buccal pad of fat, Myomucosal Flap
Brief summary
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.
Interventions
PROCEDUREDouble layer of buccal myomucosal Flap and buccal pad of fat
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.
Sponsors
Tanta University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Healing | 6 months | 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 . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| infection | 6 months | fluid level will be measured in cubic centimeter in computed tomography |
Countries
Egypt
Outcome results
None listed