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This study evaluated the usefulness of a pedicled buccal fat pad graft covered with a polyglycolic acid sheet and fibrin glue for reconstructing maxillopalatal defects associated with an oroantral fistula. This procedure was performed in 5 patients, and 5 other patients who underwent reconstruction using an obturator prosthesis were included as control. All patients underwent partial maxillectomy. The postoperative course and satisfaction score were compared between the two groups. The reconstruction group had no postoperative complications or functional disorders; they showed better results than the control group. Thus, this surgical technique is less invasive and is useful for the repair of maxillopalatal defects associated with an oroantral fistula.

nihon koukuu geka gakkai zasshi/nippon kōkū geka gakkai zasshi

Reconstruction of maxillopalatal defects after partial maxillectomy using a pedicled buccal fat pad covered with a polyglycolic acid sheet and fibrin glue