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The Buccal Fat Pad for Closure of Oroantral Communication

Denes, Stefano Andrea MD, DMD; Tieghi, Riccardo MD; Elia, Giovanni MD

Journal of Craniofacial Surgery: May 2016 - Volume 27 - Issue 3 - p e327–e330
doi: 10.1097/SCS.0000000000002579
Brief Clinical Studies

The buccal fat pad (BFP) is a well-established tool in oral and maxillofacial surgery and its use has proved of value for the closure of oroantral communications. Oroantral communication may be a common complication after sequestrectomy in “bisphosphonate-related osteonecrosis of the jaws.”

The authors report a clinical case of a 70-year-old female patient in bisphosphonate therapy presented with right maxillary sinusitis and oroantral communication after implants insertion.

The BFP was used to close the defect. The patient had an uneventful postoperative healing without dehiscence, infection, and necrosis.

The authors postulate that the primary closure of the site with BFP may ensure a sufficient blood supply and adequate protection for an effective bone-healing response to occur.

Unit of Cranio Maxillo Facial Surgery, Reference Center for Cranio-Facial Rare Anomalies European Association for Cranio Maxillofacial Surgery, International Teaching Center Network, St. Anna Hospital and University, Ferrara, Italy.

Address correspondence and reprint requests to Stefano Andrea Denes, MD, DMD, Unit of Cranio Maxillo Facial Surgery, St. Anna Hospital and University, Via Aldo Moro N 8, 44121 Cona, Ferrara, Italy; E-mail:

Received 12 January, 2016

Accepted 26 February, 2016

The authors report no conflicts of interest.

© 2016 by Mutaz B. Habal, MD.