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The use of the pedicled buccal fat pad (BFP) and palatal rotating flaps in closure of oroantral communication and palatal defects

Published online by Cambridge University Press:  29 June 2007

Ibrahim E. El-Hakim  and
Abdel Magid El-Fakharany
Ibrahim E. El-Hakim*
Affiliation:
Department of Dental Medicine, Bab El-Sheria University Hospital of Al-Azhar University, Cairo, Egypt.
Abdel Magid El-Fakharany
Affiliation:
Department of Dental Medicine, Bab El-Sheria University Hospital of Al-Azhar University, Cairo, Egypt.
*
Address for correspondence: Dr Ibrahim E. El-Hakim, 6 El-Gendy Street, Hadayek Helwan 11433, CairoEgypt. Fax: +2 02 3690289 e-mail: Imelhakim@Frcu.Eun.Eg
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Abstract

The use of the buccal fat (BFP) and palatal rotating flaps for the closure of oro-antral communication and reconstruction of palatal defects was compared clinically. The BFP proved to be consistently successful in closing oro-antral fistulae and palatal defects resulting from tumour resection, preserving the normal anatomical architecture of the oral mucosa. No denuded area requiring secondary granulation was required as in the case of palatal flaps. In addition, no facial disfigurement was observed on the operated side.

BFP is considered a reliable, convenient method for closure of palatal defects and closure of oro-antral communication. It can also be considered as a reliable back-up procedure in the event of failure of other techniques.

Keywords

Maxillary sinusOral fistulaSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 9 , September 1999 , pp. 834 - 838
Copyright
Copyright © JLO (1984) Limited 1999

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