Abstract

This study evaluated the long-term effectiveness of the pedicled buccal fat pad (BFP) in the closure of a large oroantral fistula (OAF). Twenty-five consecutive patients with OAFs larger than 5mm were treated with a pedicled BFP. They were followed clinically and radiographically for 10years after surgery to monitor the durability and effectiveness of the pedicled BFP in the closure of the OAF. The procedure was successful in all patients. The healing process was satisfactory, with no breakdown or liquefaction necrosis postoperatively. No complications were observed during the follow-up period. The results of this study support the view that the use of the pedicled BFP is a durable, straightforward, convenient, and reliable method for the treatment of a large OAF.

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