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Persistent oral antral fistulas.

R Del Junco1, I Rappaport, G R Allison

  • 1Department of Otolaryngology, Head and Neck Surgery, University of California, Orange.

Archives of Otolaryngology--Head & Neck Surgery
|November 1, 1988
PubMed
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Surgical repair of persistent oral antral fistulas using palatal flaps offers a successful treatment option. This flap closure technique effectively prevents recurrent fistulization, even after multiple failed attempts.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery

Background:

  • Oral antral fistulas (OAFs) that have previously failed closure are challenging to treat.
  • Various materials and techniques exist, but evaluating their efficacy is difficult.

Purpose of the Study:

  • To evaluate the efficacy of palatal flaps for closing persistent oral antral fistulas after multiple failed attempts.

Main Methods:

  • Six patients with recurrent OAFs underwent closure using either bilateral or unilateral palatal flaps.
  • These flaps were based on the posterior palatine artery.

Main Results:

  • All six patients were successfully treated with no recurrent fistulization over a ten-year follow-up period.
  • Patients were able to wear dentures if indicated post-surgery.

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Conclusions:

  • Palatal flaps based on the posterior palatine artery provide a reliable method for closing persistent oral antral fistulas.
  • This technique is effective even in cases with multiple prior surgical failures.