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首页> 外文期刊>Maxillofacial Plastic and Reconstructive Surgery >Versatility of the pedicled buccal fat pad flap for the management of oroantral fistula: a retrospective study of 25 cases
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Versatility of the pedicled buccal fat pad flap for the management of oroantral fistula: a retrospective study of 25 cases

机译：带蒂颊脂垫皮瓣治疗口瘘的多功能性：回顾性研究25例

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Abstract PurposeMaxillary bone grafts and implantations have increased over recent years despite a lack of maxillary bone quality and quantity. The number of patients referred for oroantral fistula (OAF) due to implant or bone graft failure has increased, and in patients with an oroantral fistula, the pedicled buccal fat pad is viewed as a robust, reliable option. This study was conducted to document the usefulness of buccal fat pad grafts for oroantral fistula closure.Materials and methodsWe retrospectively studied 25 patients with OAF treated with a buccal fat pad graft from 2015 to 2018. Sex, age, OAF location, cause, duration, presence of systemic disease, smoking, previous dental surgery, and side effects were investigated.ResultsA total of 25 patients were studied. Mean patient age was 54.8?years, and the male to female ratio was 19:6. Causes of oroantral fistula were cyst enucleation, tumor resection, implant removal, bone graft failure, and extraction. Excellent results were obtained in 23 (92%) of the 25 patients. In the other two patients that both smoked, a small fistula was observed during follow-up. No recurrence of oroantral fistula was observed after 2 months to 1 year of follow-up.ConclusionsThe incidence of oroantral fistula is increasing due to implant and bone graft failures. Oroantral fistula closure using a pedicled buccal fat pad was found to have a high success rate.
机译：摘要目的尽管缺乏上颌骨的质量和数量，但近年来上颌骨移植物和植入物的数量有所增加。因植入物或骨移植失败而被要求进行口瘘（OAF）的患者数量有所增加，在有口瘘的患者中，带蒂颊脂垫被认为是一种可靠的可靠选择。这项研究的目的是记录颊颊脂肪垫移植物对口瘘管封闭的有用性。材料和方法我们回顾性研究了2015年至2018年使用鼻颊脂肪垫移植物治疗的25例OAF患者。性别，年龄，OAF位置，原因，持续时间，研究了系统性疾病，吸烟，既往的牙科手术和副作用的发生情况。结果共研究了25例患者。平均患者年龄为54.8岁，男女之比为19：6。口腔窦瘘的原因是囊肿摘除，肿瘤切除，植入物去除，植骨失败和拔牙。 25例患者中有23例（92％）获得了极好的结果。在另外两个均吸烟的患者中，在随访期间观察到小瘘管。随访2个月至1年后未观察到口瘘的复发。结论由于植入物和骨移植失败，口瘘的发生率正在增加。发现使用带蒂颊脂肪垫封闭口瘘的成功率很高。

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