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Fistulas plug: a new surgical technique to aid closure of chronic oroantral fistula

Nabil, Yassera; Sleem, Hebab

Egyptian Journal of Oral and Maxillofacial Surgery: May 2014 - Volume 5 - Issue 2 - p 65–67
doi: 10.1097/01.OMX.0000444120.02738.5d
Clinical Papers

Aim of the study The aim of the study was to investigate the feasibility of using fistulas tract as a tissue.

Materials and methods Twelve adult patients suffering from chronic OAF were included in the study. New technique using the chronic fistulas tract as a plug to close the oroantral fistula.

Results The surgical procedure was well tolerated by all patients. With excellent closure of the oroantral fistula, no intraoperative or postoperative complications were noted.

Conclusion The present study offers the use of fistulas tract itself to act as a tissue plug of antral floor defect, using buccal or palatal flap on top of it; hence, double-layer closure could be easily achieved.

aOral and Maxillofacial Surgery Department, Specialized Dental and Teaching Hospital

bOral and Maxillofacial Surgery Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt

Correspondence to Yasser Nabil, PhD (OMFS), MDS, FDSRCS, Oral and Maxillofacial Surgery Department, Specialized Dental and Teaching Hospital, PO Box 4048, Cairo, Egypt Tel: +002 0226716681; e-mail:

Received September 29, 2013

Accepted January 29, 2014

© 2014 Egyptian Associations of Oral and Maxillofacial Surgery