Akademik Veri Yönetim Sistemi
32. Uluslararası Türk Oral ve Maksillofasial Cerrahi Derneği Bilimsel Kongresi, Antalya, Türkiye, 5 - 09 Kasım 2025, ss.31, (Özet Bildiri)
INTRODUCTION
Oroantral communication (OAC) may occur after extraction of maxillary posterior teeth, surgical removal
of cystic or tumoral lesions, or trauma. If untreated, it may develop into an oroantral fistula (OAF).
The pedicled buccal fat pad (BFP), with its rich vascularization and accessibility, is a reliable option for
posterior maxillary defect closure.
Studies report high success rates (90–96%), rapid epithelialization, and low recurrence (Shukla et al.,
2021; Mallesh et al., 2020; Pizzolante et al., 2024).
Mobilization through a transosseous approach allows easier positioning and better stability.
CASE REPORT
A 22-year-old female underwent surgery 1.5 years earlier in the ENT clinic for cyst removal.
During extraction of the first molar, a 1×1 cm defect occurred. A transosseous buccal window was
created, and the pedicled BFP was mobilized and passed through to close the defect. Periacryl was
applied for stabilization.
Early follow-ups showed no recurrence or infection, and healing was uneventful. These results align with
studies reporting high success and minimal complications (Pizzolante et al., 2024).
DISCUSSION / CONCLUSION
Literature supports the BFP’s high reliability and low complication rate in OAF management.
Shukla et al. (2021) reported faster healing and lower morbidity versus buccal advancement flaps.
Mallesh et al. (2020) achieved 96% success and emphasized stability via the transosseous approach.
Pizzolante et al. (2024) reviewed over 1,000 cases, recommending BFP for defects >1 cm.
The present case confirms that transosseous pedicled BFP transfer is a simple, practical, and effective
method for posterior maxillary reconstruction.