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Muhammad Aamir1, Farhad Ali3, Arshad Abbas2, Muslim Khan4 and Tahir Ullah Khan5

ABSTRACT

Objective: To compare success of palatal rotation flap versus buccal advancement flap for oroantral fistula closure.

Study Design: Randomized control trial

Place and Duration of Study: This study was conducted at the Department of Oral and Maxillofacial Surgery, Gajju khan Medical College/Bacha Khan Medical Complex, Shah Mansoor, Swabi from June 2019 to December 2019.

Materials and Methods: One hundred and fifty two patients were included in this randomized clinical trial. Two groups were created; group A (palatal rotational flap) and group B (buccal advancement flap). After surgery, nasal decongestant and antibiotics were given. Patients were recalled at 15th day and at 1 month after surgical procedure for the examination of the area of oroantral fistula and flap were assessed clinically.

Results: In palatal rotation flap and buccal advancement flap groups, the mean ages were 33.07±7.67 and 32.26±7.07 years. 61.8% males and 38.2% females, 65.7% males and 34.3% females. 2.7% patients have malnutrition and 3.9% have history of malnutrition. Seventy patients (92.1%) have success and 65 patients (85.5%) have success rate in palatal rotation flap and buccal advancement flap respectively. Statistically, there was no significant difference (P = 0.198).

Conclusion: Both of these flaps are good to close the oroantral fistula. The success of the palatal rotation flap was more successful for large as well as medium and small defects but buccal advancement flap was successful for medium and small defects, showing failure in large defects.

Key Word: Frequency, flap success, Buccal advancement flap, Oroantral fistula, Palatal rotation flap

Citation of article: Aamir M, Ali F, Abbas A, Khan M, Khan TU. Comparison of Success of Palatal Rotation Flap versus Buccal Advancement Flap for Closure of Oroantral Fistula. Med Forum 2020;31(5):15-19.